FSP Initial Application & Log In
FSP Initial Application
FAMILY SUPPORT PROGRAM: Please click the link below to go to HFS website page for the Family Support Program. You'll find copies of frequently requested HFS Family Support Program documents such as initial application and continued enrollment application packets, residential application packet, and more.
Log In - Providers Only
Submit Application/Requests Online
FSP Providers - Click the button above to log in to the FSP Web Portal - eQSuite®
eQSuite is our proprietary, HIPAA compliant system which offers registered users 24/7 access to submit FSP Applications and providers to fulfill other program requirements.
Parent/Legal Guardian Log In - FSP Application
PARENTS/LEGAL GUARDIANS:
If you are mailing a hard copy application, please use NEW address:
Acentra Health
500 Waters Edge, Suite 125
Lombard, IL 60148
You may submit an application for the Family Support Program (FSP) by fax/mail or use the online application system. Please read instructions below before using online method.
To use the online system, all required documents must be saved on your computer as PDF files so you can upload them as part of the electronic application process.
Submit Application Online
Click the eQSuite button above.
- After you click eQSuite button, fill out all information on right side to set up your account
- Write down your log in name, password and answers to security questions. Keep this information safe.
- Once you have your user log in, you will always sign in on the left side of log in page
- Select “New Application” to begin. The system will automatically assign this application a number. As you hit "Next" on each tab, you will attest you are the parent/legal guardian of the youth, answer questions/fill out information and upload required documents. You will be able to submit the application after you have signed off on the last tab. The system will let you know if there is incomplete information and you will go back in to that tab to provide the required information. Once you finish, you'll go to last tab again to Submit.
Submit Application by Fax/Mail
If for any reason you close out of the application you started, you can resume completing the application by clicking
Home and “Existing Application.” Follow the same procedure as above to submit the application.
Click Here for a copy of the FSP Application form and follow the checklist on page three (3) to submit
your application to Acentra Health.