endobj Most people who want medical benefits, who are not U.S. citizens, must provide proof of immigration status. Box 19174 Springfield, Illinois 62794-9174 For information about <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream Medical providers who accept you as an HFS Medical Programs' patient and give you a covered medical service should not ask you to pay for that service if you qualified for medical benefits at the time of the service. If you have too much income or assets to qualify for medical benefits, but you meet all other requirements, you may qualify for the medical benefits Spenddown Program. It looks like your browser does not have JavaScript enabled. When this happens, HFS Medical Programs has the right, by law, to collect money from this other source to cover the bill it paid for you. 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. Find your nearest vaccination location at, Child Care Assistance Program (CCAP) Policy Manual, Section 07 - Administrative Responsibilities, IL444-1900 - Child Care Overpayment Referral (pdf). No action will be taken to enforce the lien when you die, if your property is occupied by your spouse, your child under age 21, your child over age 21 who is blind or disabled, or in some cases, your brother or sister. endstream 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 For example, if you get a health insurance payment for a bill HFS has paid, you must report it to your caseworker. Springfield, IL United States. Ensures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. 4 0 obj JB Pritzker, Governor Theresa Eagleson, Director. Canceled at client's request and past unreported income/assets/household composition change is known/suspected and verifications have been requested by the Family Community Resource Center. If the debtor submits written documentation to reduce the debt, BCCD will issue a new letter indicating the new balance. If you apply because you have a disability, you will be told within 60 days. The following organization chart represents basic structure and the departments senior management. Call or visit your local Department of Human Services office. If you can get free health insurance coverage (for you or you and your child who receives medical assistance) through your job, union or other organization, youmust apply for it. DHS or HFS will send a letter to you if you can be repaid. Sometimes these programs are called Medicaid, All Kids, FamilyCare, Moms & Babies or HFS Medical Benefits. The agency is organized into two major divisions, Complete the Child Care Overpayment Referral (. endstream If the debtor submits written documentation to eliminate the debt, BCCD will issue a letter to rescind the overpayment. You will be notified of the results of the review. WebIllinois State-Human Service Department. The call is free. 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. endstream The call is free. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream If these screen prints are missing, the referral packet will be returned. If you need help filling it out, your caseworker will help you. , Prescott Bloom Building201 South Grand Avenue, EastSpringfield, Illinois 62763, JB Pritzker, Governor Theresa Eagleson, Director. Illinois medical assistance programs, consisting of Medicaid and numerous other medical programs associated with it, provide comprehensive health-care coverage to about 3.2 million Illinoisans. A caseworker at the local office will answer your questions. Be sure to give your complete name and address. The hospital should fax a copy of the request or the subpoena to the Department's Bureau of Collections, Technical Recovery Section. Earned income is wages from your job or profits from your business. the provider charges the subsidized parent more than they charge private pay parents.). endstream The state can cover medical care provided in an emergency for adults whose legal immigration status cannot be verified, or if they have been in the U.S. less than five years, only if they meet all other medical program rules. Be specific and concise, but do not use abbreviations. 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. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream mZM@T#8$z#*Gjom&xc.ez WebEnsures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. HFS offers many different healthcare programs for the people of Illinois. As long as you are eligible for the Medical Assistance Program, you will receive a medical card. JB Pritzker, Governor Theresa Eagleson, Director. All overpayment inquiries shall be directed to the. Supervisors should review and approve each overpayment referral. endobj If you received AABD medical assistance only, a claim will be filed for the amount of medical assistance paid after your 55th birthday. 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. 8 0 obj You can also apply online for some programs. You do not qualify if you are required to be enrolled in the health plan as a requirement of a divorce or other court order. Sometimes medical assistance pays a medical bill that a third party resource should have paid. You must tell your caseworker within 10 days if there are changes in your family income (the money you receive), assets (the things you own, like money in the bank or life insurance), if someone moves in or out of your home, or if you become blind or disabled. Illinois Department of Human ServicesBureau of Customer Inquiry & Assistance100 South Grand Ave., East, 2nd Fl.Springfield, IL 62762. Please turn on JavaScript and try again. The Inspector General is appointed by and reports to the Governor and is confirmed by the Senate. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 2 0 obj HFS 2875 Medical Assistance and Third Party Liability, HFS 3120 Medicaid Payment of Medicare Cost Sharing Expenses, HFS 3191 Long Term Services & Information for Couples, HFS 3352 Qualified Medicare Beneficiary (QMB) Program, HFS 3757 Medicare Savings for Qualified Beneficiaries, HFS 591 Healthcare and Family Services Medical Programs, Illinois Department of Healthcare and Family Services Dental Program, Illinois Medical Assistance Dental Program (Spanish), HFS 2875S Asistencia Mdica y Obligacin de Terceras Partes, HFS 3120S Pagos De Medicaid Para Gastos Del Costo Compartido De Medicare, HFS 3191S Servicios de Cuidado a Largo Plazo e Informacin Para Parejas, HFS 3419BS Derecho de Retencin Contra Propiedades, HFS 3757S Ahorros de Medicare Para Los Beneficiarios Que Califican, HFS 3777S Linea de Informacin y Derechos del Residente, HFS 591SPS Medicaid con Obligacin de Pago, HFS 3838 Mental Health Crisis Services for Youth, HFS 3132S Aviso Acerca Del Costo Compartido De Medicare, HFS 3777 Resident Information and Rights Line, local Department of Human Services (DHS) office. For information call: Illinois Department of Human Services HelplineToll-Free 1-800-843-6154Monday - Friday (except state holidays)7:30 a.m. - 7 p.m. Grace B. Hou, Secretary. Transfers the payment to another applicable claim and corrects the accounts receivable file, if no refund is due. The lien will be released if you are discharged from the medical institution to return to your home. Tomorrow: 8:00 am - 5:00 pm. For information call: Illinois Department of Human Services Helpline Toll-Free 1-800-843-6154 Monday - Friday (except state holidays) 7:30 a.m. - 7 p.m. HFS and DHS will ask most U.S. citizens who want medical benefits to provide one of the following documents: U.S. Passport, Certificate of Naturalization (N-550 or N-570) or Certificate of Citizenship (N-560 or N-561). WebIllinois Department of Human Services Bureau of Customer Inquiry & Assistance Monday Friday (except state holidays) 7:30 a.m. - 7 p.m. If you must choose a medical home, Illinois Health Connect or the Illinois Services Enrollment Broker will contact you. WebCollection Agency Registration Collection Agency Branch Office Registration Personal/Employment History Collection Agency Financial Statement Collection WebIllinois Department of Healthcare and Family Services Bureau of Collections - Technical Recovery Section P.O. Home and special nursing care (only for children under 21), Rehabilitation assistance (physical therapy). endobj We will contact the U.S. Bureau of Citizenship and Immigration Services to check their status. H,N07GFbCd>~2VU!g|A+ 3rN9=%s&?FG'SIq jQGZ.6,E{ & For children under age 16, school or day care records or a report card. Which petition would be best depends on what - if any - litigation has been filed in court You must see doctors who are network providers for your third party resource. A caseworker at the local office will answer the questions you have. Hw,JMTpuV*w5Pp The programs cover children, parents or relatives caring for children, pregnant women, veterans, seniors, eligible individuals, and persons who are blind and persons with disabilities. Tell your caseworker if you have a good reason. In fiscal year 2015, more than $1.4 billion was collected in support owed to Illinois children. 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. r "9)1BR` w WebThe Illinois Department of Insurance can help you find missing life insurance policies and collect the money you're owed from the millions of dollars in benefits that go unclaimed every year. WebThe Department of Human Services (DHS) helps by taking applications for medical benefits. Persons using a TTY can call 1-800-447-6404. The call is free. In certain situations, liens on real property and claims against estates are used to do this. You can file an appeal by writing to the Bureau of Administrative Hearings, 401 South Clinton Street, Chicago, IL 60607. %PDF-1.6 % Please turn on JavaScript and try again. Persons using a teletypewriter (TTY) can call 1-800-447-6404. If you are a patient in a hospital, ask someone on the hospital staff to help you apply. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 1-866-324-5553 TTY, 2020 Illinois Department of Human Services, Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. HFS 591 Healthcare and Family Services Medical Programs, HFS 2875 Medical Assistance and Third Party Liability, HFS 3120 Medicaid Payment of Medicare Cost Sharing Expenses, HFS 3191 Long Term Services & Information for Couples, HFS 3352 Qualified Medicare Beneficiary (QMB) Program, HFS 3757 Medicare Savings for Qualified Beneficiaries, Illinois Department of Healthcare and Family Services Dental Program, Illinois Medical Assistance Dental Program (Spanish), HFS 2875S Asistencia Mdica y Obligacin de Terceras Partes, HFS 3120S Pagos De Medicaid Para Gastos Del Costo Compartido De Medicare, HFS 3191S Servicios de Cuidado a Largo Plazo e Informacin Para Parejas, HFS 3419BS Derecho de Retencin Contra Propiedades, HFS 3757S Ahorros de Medicare Para Los Beneficiarios Que Califican, HFS 3777S Linea de Informacin y Derechos del Residente, HFS 591SPS Medicaid con Obligacin de Pago, HFS 3838 Mental Health Crisis Services for Youth, HFS 3132S Aviso Acerca Del Costo Compartido De Medicare, HFS 3777 Resident Information and Rights Line. When your caseworker is done, he or she will give you a computer printout with your answers on it and ask you to sign it. If you receive poor medical care, have problems getting medical care or are charged for medical services that are covered by HFS Medical Programs, call: 1-844-453-7283 Persons using a TTY can call 1-800-447-6404. (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. You may also write to DHS at the address below. This includes requests for patients covered under the Medicaid fee-for-service program or a managed care plan. Supervisors must sign and date the referral on page 2. DHS or HFS reviews your case at least once a year to see if you still qualify for medical benefits. People with a serious illness receiving medical assistance may qualify for medical assistance payment of health insurance premiums if: They can enroll in a cost-effective health plan by themselves or through someone else; or. Proof is a copy of any one of the following: Alien Registration Receipt Card/Permanent Resident Card/Green Card (INS-3A); Passport with the following stamps or attachments: Arrival-Departure Record with the stamp showing status (I-94), or Resident Alien Form (I-151 or I-551), or Temporary Resident Card (I-688); Other proof of lawful immigration status. Please turn on JavaScript and try again. Be the first to review! Homestead property is the dwelling and adjacent property that you own and live in. Mailing address for Cook County residents: The name of the patient and the date of birth, The recipient identification number (RIN), The date(s) of service or date of accident, The reason given by the entity for requesting the bill. If you are receiving or are approved to receive Supplemental Security Income (SSI), Social Security Disability or Railroad Disability benefits, you do not have to give us documents to prove you are aged or blind or have a disability. Sometimes HFS pays a medical bill that someone else or other insurance should have paid for you. Fraud is a serious crime. Please turn on JavaScript and try again. Persons using a teletypewriter (TTY) can call 1-800-447-6404. WebIDHS: Illinois Department of Human Services. The call is free. A lien will be filed against both homestead and non-homestead real property, regardless of the property's market value. To waive recovery, the heir or beneficiary must show that the recovery would cause them to become or remain eligible for programs such as Supplemental Security Income (SSI), Temporary Assistance for Needy Families (TANF) or Food Stamps. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream HFS has the legal right to recover the amount it paid for medical care for some persons who are aged, blind or have a disability. By administrative rule 89 Ill. Admin. It looks like your browser does not have JavaScript enabled. DHS will accept your application as long as it has your name, address and signature. R5%CwG 4E`\'$gF1IM4l3zqn]i 0'\8b Q2>oK-OKkZ&]+Ul;.c Q&mc[9 NowuLfj>-L~}b1g&vX(}FwN'` ` If you do not give DHS this information, you may not be eligible for the Medical Assistance Program. @~b0E,el8[R$;inx8R+pSxwChE?7. Coordinates gathering documents and case records for criminal or civil cases. Please turn on JavaScript and try again. Alcoholism Information & Treatment Centers. Save copies of any medical bills you paid after your time limit. This is called Pay-in Spenddown. The TPL code lets your doctor, hospital or clinic know that there is a third party that may be responsible to pay for all or part of your medical care. Customers DHS can help you and your family meet your basic needs. It looks like your browser does not have JavaScript enabled. You do not have to come to the office, but you must try to keep all your telephone appointments with your caseworker. Payment may be made for covered medical bills if you qualify. WebChicago, Illinois 60604 312-596-7230 FOR THE REMAINDER OF ILLINOIS United States Department of Labor Wage and Hour Division 3161 W. White Oaks, Dr., Suite 203 Springfield, IL 62704 217-793-5028 Occupational Safety & Health Act (#OSHA 3165) poster is available by contacting the agency at: OSHA Publications 230 South Dearborn, Room endobj The Illinois Department of Human Services is an organization that is devoted to providing information about various programs throughout the State and within specific regions. <>stream Click here to keep up to date and check out IDFPR's press releases. They will send you a form. The cause of each overpayment shall be classified as administrative error, client error, or provider error. Depending on your income and situation you may also have to cooperate with Child Support Enforcement (CSE) activities. WebDepartment of Human Services, 2021 IL App (2d) 200364 . If you have questions about a third party resource resulting from a child support order, you can call: Illinois Department Healthcare and Family Services Customer Service Call CenterToll-free1-800-447-4278 or (TTY) 1-800-526-5812. If you withhold information or do not tell us the truth about your family income or assets, you may be guilty of fraud. 7 0 obj This is often done by mail using a Redetermination or Renewal form. \R*kS"JU.WKXk2t,=%iEZ3EYongfYvu9R> `KEM/(+$9|qeT_hON9Wj2R+N6;f If you are found guilty of this crime, you may have to pay a fine, go to prison, or both. 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. 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. If you do not share this information, you will not get medical benefits. endstream CLOSED NOW. See our Spenddown Program booklet for more information about spenddown. Provide a summary of the program violation(s). If your third party coverage changes or if family members are added to or deleted from the coverage, you must tell your caseworker within five days. Include all written documentation to support or defend that an overpayment occurred. You may have the option of paying your spenddown amount directly to HFS. Also, call this telephone number if you know someone who is withholding information or not telling the truth about the medical services they need or if you know someone who is charging the HFS Medical Programs for medical care that he or she did not give. A claim may not be filed against your estate if recovery would cause an heir or beneficiary undue hardship. endobj This booklet explains the Healthcare and Family Services (HFS) Medical programs. IDFPR announced its proposed rules implementing the Illinois Community Reinvestment Act ("CRA") were published by the Illinois Secretary of State. 1-800-843-6154 If you want to appeal the decision, you can write a letter requesting a hearing or fill out a Notice of Appeal form. All payments are handled by IDHS Bureau of Collections. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. You should also tell the provider billing you that you are covered by HFS medical benefits. If information does not apply, enter N/A. If you help others withhold information or make untrue statements about their family income or assets, you also may be guilty of fraud. WebIDOT consists of ten supporting offices. Works with the Bureau of Investigations, the Illinois State Police, and the Attorney General. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream The goal is to make assistance more accessible to the citizens of Illinois. Persons using a teletypewriter (TTY) can call 1-800-447-6404. If you cannot keep an appointment, be sure to tell your caseworker right away. The mission of the Office of the Inspector General is to prevent, detect and eliminate fraud, waste, abuse, misconduct and mismanagement in the programs administered by the Departments of Healthcare and Family Services and Human Services. But do not share this information, you will receive a medical home, 62763. Caseworker at the local office will answer your questions eliminate the debt, BCCD will a... Not U.S. citizens, must provide proof of immigration status are not U.S. citizens, must provide proof immigration... A teletypewriter ( TTY ) can call 1-800-447-6404 DHS ) helps by taking for! 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