If you do not know where your local DHS office is or you are unable to go to the office, call: Illinois Department of Human ServicesBureau of Provider Assistance & Correspondence100 South Grand Avenue, EastSpringfield, Illinois 62762, JB Pritzker, Governor Theresa Eagleson, Director. If HFS or DHS does not decide if an adult qualifies for the program within the time limit, they may also qualify for temporary medical coverage. Evaluates Family Community Resource Center productivity, quality, and timeliness, of all collections and investigations. If information does not apply, enter N/A. If you are age 65 or older, are blind or have a disability, your assets will also be reviewed. Hr Persons using a teletypewriter (TTY) can call 1-800-447-6404. WebThe Illinois Department of Healthcare and Family Services (HFS) is responsible for providing healthcare coverage for adults and children who qualify for Medicaid, and for If you have any questions or want more information, go to your local Department of Human Services (DHS) office. If you help others withhold information or make untrue statements about their family income or assets, you also may be guilty of fraud. IDHS Office Locator. They will send you a form. For information about Department of Human Services (DHS) programs: Call or visit your local Department of Human Services office. H$ A third party may be another person, an insurance company, an organization or a program. You may choose your current medical provider if they are enrolled with HFS. 2 0 obj Box 19174Springfield, Illinois 62794-9174. We will contact the U.S. Bureau of Citizenship and Immigration Services to check their status. Sometimes HFS pays a medical bill that someone else or other insurance should have paid for you. To: Enrolled Hospitals: Chief Executive Officers: Chief Financial Officers: and Patient Accounts Managers, Re: Third Party Requests for Medicaid Patient Bills and Medical Records, _____________________________________________________________________________. Recursos Para Trabajadores de la Salud (Spanish COVID-19 webpage), Collection Agency Registration Application, Collection Agency Branch Office Registration, Personal/Employment History Collection Agency, Employee Identity Listing Collection Agency, Trust Account Financial Report Collection Agency, Application to classify records as confidential. A claim may not be filed against your estate if recovery would cause an heir or beneficiary undue hardship. The form is available at all local Department of Human Services offices. In certain situations, liens on real property and claims against estates are used to do this. The Medical Assistance and Third Party Liability brochure explains how medical assistance works with other groups, known as third parties, to pay your medical bills. endobj Third Party Liability means that a "third party" - not medical assistance and not you - has or may have a responsibility to pay all or part of the cost of your medical care. You can also appeal by calling 1-800-435-0774 Toll-Free, Monday - Friday, 8:30 a.m. to 4:45 p.m. (If you are using a teletypewriter (TTY), call the Illinois Relay number toll free at 1-800-526-0844). A provider error includes, but is not limited to, an error that occurs when: The provider receives payment in excess of services rendered (i.e. Complete all blanks. @~b0E,el8[R$;inx8R+pSxwChE?7. For example, if you get a health insurance payment for a bill HFS has paid, you must report it to your caseworker. You can also fill it out, sign it, and leave it at the FCRC. Tomorrow: 8:00 am - 5:00 pm. The goal is to make assistance more accessible to the citizens of Illinois. Home and special nursing care (only for children under 21), Rehabilitation assistance (physical therapy). H,N07GFbCd>~2VU!g|A+ 3rN9=%s&?FG'SIq jQGZ.6,E{ & If you have any questions or need more information, call the DHS Helpline at 1 If the case meets the criteria for overpayment, BCCD will issue the Overpayment letter. Your caseworker will tell you how to apply for these benefits. For additional information about a waiver of estate recovery write to: llinois Department of Healthcare and Family ServicesBureau of Collections - Technical Recovery SectionP.O. You may also write to DHS at the address below. Are a U.S. citizen or meet certain non-citizen requirements; Meet the program rules described in this section. If you think you should get healthcare benefits from a third party resource that you are not getting now, tell your caseworker. (217) 557-1601 Visit Website Map & Directions 100 S Grand Ave ESpringfield, IL 62762 Write a Review. 4 0 obj (FCRC) Fax Form 3660 to the EBT Unit at (217) 524-3124 or email to DHS .LINK@illinois.gov. (FCRC) Make a copy of the form. The Pre-Payment Detail Inquiry Screen and the Payment Inquiry (PF-11) screen prints for each overpayment month are mandatory. You will be asked to turn the payment over, or if the payment is more than what HFS paid for you, you will have to repay the amount HFS paid. If you have medical expenses during any of the three months before the month you apply, be sure to tell your caseworker about them. Box 19174 Springfield, Illinois 62794-9174 For information about Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. When you receive the form, you must complete and return it to allow the state to determine if you are responsible for the bill. This is called Pay-in Spenddown. endstream IDFPR announced applications for the next round of cannabis dispensary licenses will be accepted starting in January 2023. However, you may qualify for medical benefits to cover up to three months before the month you apply. DHS or HFS reviews your case at least once a year to see if you still qualify for medical benefits. Today: 8:00 am - 5:00 pm. Fraud is a serious crime. These programs typically center around maintaining 2P t.C4PH2P,H(+*P ,MtLBr4R34C\C 4 JB Pritzker, Governor Theresa Eagleson, Director. endobj Assets are the things you own, like money in a bank account or life insurance. You must also tell us if you have any other health insurance. Springfield BCCD will review the Overpayment Referral and will either approve or deny the claim. Secretary of Transportation Office of Planning and Programming Office of Highways Project Implementation Office of Intermodal Project Implementation Office of Communications Office of Legislative Affairs Homestead property is the dwelling and adjacent property that you own and live in. The Bureau of Collections makes all repayment arrangements, including negotiating all installment repayment plans for canceled SNAP cases. Persons using a teletypewriter (TTY) can call 1-800-447-6404. Depending on your income and situation you may also have to cooperate with Child Support Enforcement (CSE) activities. 1-800-843-6154 Two state agencies work together to help Illinoisans get HFS Medical Program benefits. If the case does not meet the overpayment criteria, BCCD will deny the referral and notify the referring agency. Ensures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. The CCR&R/Site provider and Bureau of Collection will receive a copy of the new letter. Office of Inspector General is maintained within the agency, but functions as a separate, independent entity reporting directly to the governor's office. , Prescott Bloom Building201 South Grand Avenue, EastSpringfield, Illinois 62763, JB Pritzker, Governor Theresa Eagleson, Director. The Medical Assistance Program pays for your health care costs when no third party resource is responsible to pay for them, or when the third party resource will not pay enough of your medical bills. If the debtor submits written documentation to reduce the debt, BCCD will issue a new letter indicating the new balance. If your application is approved, your medical benefits usually begin with the month you apply. You must let your caseworker know when you move so your medical card and other important information can be sent to your new address. . Most adults must also have been in the U.S. for at least five years. You can get medical benefits even if you do not have an address, but you must tell your caseworker an address where you can pick up your medical card. Hr Your children who qualify for medical benefits will continue to receive them whether or not you cooperate. (FCRC) If an FCRC finds that the overpayment amount has changed, send Change of Overpayment Information (Form 2404C) to the Bureau of Collections, &C6 WebIDHS: Illinois Department of Human Services. A lien will be filed against both homestead and non-homestead real property, regardless of the property's market value. If you need help filling it out, your caseworker will help you. You will receive a medical card in the mail that you can use for your medical expenses. CLOSED NOW. endobj If these are not available, you must provide one document from each of the lists in the two boxes below: Certified copy of a birth certificate from the state or county where the person was born, Official military record that shows a place of birth or, Papers showing the person was employed by the U.S. government before 1976. Phone (800) 843-6154 . HFS was formerly the Illinois Department of Public Aid. For additional information about the various types of payment recoveries, please write to: Illinois Department of Healthcare and Family ServicesBureau of Collections - Technical Recovery SectionP.O. This is your application. Any questions regarding this notice may be directed to the following: Kelly Cunningham, AdministratorDivision of Medical Programs, JB Pritzker, Governor Theresa Eagleson, Director. By administrative rule 89 Ill. Admin. The Division of Child Support Services provides services to custodial and noncustodial parents by establishing paternity as well as establishing, enforcing and modifying child-support obligations to strengthen families emotionally and financially. HFS pays for most medical care you get while you qualify. You can only ask to have your bill reviewed if you have been contacted by a collection agency or threatened with a lawsuit about payment of the bill. Box 19174Springfield, Illinois 62794-9174. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream Modified date: December 23, 2019. WebThe Illinois Department of Transportation (IDOT) is committed to eliminating and remedying unlawful discrimination in employment and in the delivery of services, through the development of policies and programs regarding civil rights in Please turn on JavaScript and try again. Liens are filed on both homestead and non-homestead property. HFS or DHS will let you know if you qualify within 45 days of the date you apply. Hospitals should report requests immediately, preferably via fax. Box 19174Springfield, Illinois 62794-9174Attn: Personal Injury Unit. 2P t.C4PH2P,H(+*P t,,Br4\\}}. You will be notified of the results of the review. This notice serves as a reminder that hospitals must inform the Department of all third party requests for paid claim information and medical records for patients who receive medical coverage under the Department's Medical Programs. It looks like your browser does not have JavaScript enabled. A claim can be filed against your estate. Tell your medical providers that you have applied for HFS medical benefits. endobj Persons using a TTY can call 1-800-447-6404. You can file an appeal by writing to the Bureau of Administrative Hearings, 401 South Clinton Street, Chicago, IL 60607. For more information on liens and claims, get the brochure called Property Liens and Estate Claims from your local DHS Family Community Resource Center, or you may download or print the brochure. You may have the option of paying your spenddown amount directly to HFS. WebCollection Agency Registration Collection Agency Branch Office Registration Personal/Employment History Collection Agency Financial Statement Collection If you received AABD medical assistance only, resided in a long term care facility, and had been in a medical institution for more than 120 days, and a lien has been filed on your real property, a claim will be filed for the amount of all medical assistance paid, regardless of age. For children under age 16, school or day care records or a report card. Pregnant women and families can also apply for medical benefits at certain medical facilities and clinics, online atthe All Kids Web site, or through the mail. Call or visit your local DHS office. Find your nearest vaccination location at, Workers' Action Guide Chapter Table of Contents, WAG 23: Financial Adjustments and Recovery, WAG 23-05-00: Repayment of Overpayments (Cash,SNAP), WAG 23-05-02-b: Repayment - Canceled Cases, Demand Letter IntentionalSNAP Program Violation (Form 2551), Repayment Agreement IntentionalSNAP Program Violation (Form 2551A), Demand Letter Inadvertent Household Error (Form 2555), Repayment Agreement Inadvertent Household Error (Form 2555B), Demand Letter Administrative Error (Form 2556), Repayment Agreement Administrative Error (Form 2556A), if recoupment occurred on a voided Illinois Link issuance and. Mail or take your letter or appeal form to your local Department of Human Services office or mail it to IDHS, Assistance Hearing Section, 401 South Clinton Avenue, Chicago, IL 60607. You must give us any information you have about medical benefits, like other health insurance that you have. If you withhold information or do not tell us the truth about your family income or assets, you may be guilty of fraud. 1-800-843-6154 If you are a patient in a hospital, ask someone on the hospital staff to help you apply. The call is free. If you are contacted by a collection agency or are sued or threatened with a lawsuit about payment for medical expenses you think HFS Medical Programs should pay, you can ask to have the bill reviewed by calling 1-844-453-7283. It looks like your browser does not have JavaScript enabled. HFS Medical Programs are for some people who need help getting and paying for medical care. Grace B. Hou, Secretary, IDHS Help Line WebCollection. You must see doctors who are network providers for your third party resource. It will help answer many of your questions about which bills medical assistance will pay and which bills other resources pay. If you are found guilty of this crime, you may have to pay a fine, go to prison, or both. Child support services are available to all families, regardless of income, and to either parent. Alcoholism Information & Treatment Centers. WebIDOT consists of ten supporting offices. It looks like your browser does not have JavaScript enabled. Other adults who want medical benefits must provide proof of their immigration status. 7 0 obj If you receive medical assistance and you get money from a third party resource for a medical service that medical assistance already paid money for, you must repay the state of Illinois. WebThe Bureau of Personnel certifies and oversees all State of Illinois payroll systems, oversees the recruitment and counseling of potential State employees, and administers grading, testing, classification, and compensation standards for current and new positions, including compliance with the Rutan Supreme Court decision. Upload the original to the client's electronic case file in IES. *JAgN] R8 WebIllinois Department of Human Services Bureau of Customer Inquiry & Assistance Monday Friday (except state holidays) 7:30 a.m. - 7 p.m. It looks like your browser does not have JavaScript enabled. WebIllinois State-Human Service Department. Coordinates gathering documents and case records for criminal or civil cases. Within the first five years that an overpayment is identified, the department recovers a This year, IDOI has already helped consumers find and collect more than $5 million from lost or unclaimed life insurance policies. For example, if your health insurance ends or your health insurance company changes, you must tell your caseworker. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream WebThe Bureau County Department of Human Services Family Community Resource Center Food Stamp Office, located in Princeton, IL, administers the federal Supplemental Nutrition Assistance Program (SNAP) for Princeton residents. The Division of Medical Programs administers and, in conjunction with the federal government, funds medical services provided to about 25 percent of the states population. DHS or HFS will send a letter to you if you can be repaid. If you participate in the Spenddown Program, payment may be made for some of your medical care each month if you have medical bills that equal a certain amount. Us if you qualify repayment arrangements, including negotiating all installment repayment plans for canceled SNAP cases you must your... 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