Provider Portal

Provider PortalBarnabas Helmy2026-07-24T10:34:44-05:00

Approved service provider portal for application submission:

Visit the IDoA website for more program information.

The following button provides a link to the ICC Referral Training Webinar from Friday, July 17th, 2026. The CC files are also available for download.

Password: sLh6N$.X

Agency Provider Assistance

If you have questions regarding the ICC program, please fill out the form below.

NOTE: This contact form is for Referring Agencies only. All other inquiries should be placed here.

Provider Portal Contact

Name *

First

Last *

Last

Email *

Phone *

Agency Name *

Agency Type *

Area Agency on Aging (AAA)

AAA-Funded Entity

Community Care Program Care Coordination Unit (CCP-CCU)

Adult Day Service (ADS)

Adult Protective Services (APS)

Home Care Ombudsman (HCO)

Question Type *

Referring Agency Code

Equipment/Device Availability

General Program Questions

Technical Assistance

Referral Mistake (Please include participant name or referral number.)

OtherOther

Please provide details regarding your question: *

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IATP ICC Program Hours: Monday-Friday, 8:00 A.M. to 4:30 P.M.

ICC Program Hours: Monday-Friday, 8:00 A.M. to 4:30 P.M.