A claim can be filed against the estate of a deceased client. WebIDHS: Illinois Department of Human Services. Liens are filed on both homestead and non-homestead property. Evaluates Family Community Resource Center productivity, quality, and timeliness, of all collections and investigations. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream The client would not have been eligible if income, hours of employment or education/training activity, the need for child care, or the household composition had been accurately reported. 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 received AABD medical assistance only, a claim will be filed for the amount of medical assistance paid after your 55th birthday. The call is free. WebIDOT consists of ten supporting offices. If you must choose a medical home, Illinois Health Connect or the Illinois Services Enrollment Broker will contact you. WebIDHS: Illinois Department of Human Services. Providers who wish to have monthly payment reductions from future payments shall coordinate this option An overpayment shall be classified as an administrative error if the error was caused solely by actions taken by the department or its agent. endstream Or you may call 1-800-435-0774 (TTY: 1-877-734-7429). Sometimes these programs are called Medicaid, All Kids, FamilyCare, Moms & Babies or HFS Medical Benefits. A caseworker at the local office will answer your questions. Other government ID (city, county, or U.S. state issued). Happy Holidays from Secretary Grace Hou and IDHS! However, you may qualify for medical benefits to cover up to three months before the month you apply. the provider charges the subsidized parent more than they charge private pay parents.). Provide a summary of the program violation(s). 8 0 obj If you are unable to reach your caseworker, you can report changes by calling the Change Report Line 24 hours a day, 7 days a week at 1-800-720-4166. 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. 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. Web213 State Capitol Springfield, IL 62756 800-252-8980 (toll free in Illinois) 217-785-3000 (outside Illinois) Contact Forms Liens are not filed on mobile homes. To: Enrolled Hospitals: Chief Executive Officers: Chief Financial Officers: and Patient Accounts Managers, Re: Third Party Requests for Medicaid Patient Bills and Medical Records, _____________________________________________________________________________. 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. @~b0E,el8[R$;inx8R+pSxwChE?7. All overpayment inquiries shall be directed to the. 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. This is often done by mail using a Redetermination or Renewal form. 2P t.C4PH2P,H(+*P ,Mt -LBr4SRCJK4C\C $ It is the responsibility of the provider to notify the Department of any request from attorneys, insurance carriers, or participants for release of participant information or record copy services. Supervisors must sign and date the referral on page 2. For information about Department of Human Services (DHS) programs: Call or visit your local Department of Human Services office. Canceled for receipt of UI benefits and receipt of past unreported UI benefits is known or suspected and verifications have been requested by the Family Community Resource Center. IDFPR announced applications for the next round of cannabis dispensary licenses will be accepted starting in January 2023. 5 0 obj <>stream The agency is organized into two major divisions, IDFPR announced its proposed rules implementing the Illinois Community Reinvestment Act ("CRA") were published by the Illinois Secretary of State. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 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. 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. 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. Sometimes HFS pays a medical bill that someone else or other insurance should have paid for you. No action will be taken to sell your property. Alcoholism Information & Treatment Centers. 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 endstream We offer a range of services to help you become healthy and self (FCRC) If an FCRC finds that the overpayment amount has changed, send Change of Overpayment Information (Form 2404C) to the Bureau of Collections, 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. Press Release 9 0 obj The goal is to make assistance more accessible to the citizens of Illinois. Call or visit your local Department of Human Services office. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream Guide to the Medicaid Estate Recovery Program, Hardship Waiver Information and Statistics. H,N07GFbCd>~2VU!g|A+ 3rN9=%s&?FG'SIq jQGZ.6,E{ & The departments mission is to improve the health status of the individuals enrolled in its programs, while simultaneously containing costs and maintaining program integrity. Copies of the letter will be sent to: IDHS Bureau of Collections. 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. If you have a good reason for not giving us this information, tell your caseworker. 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. 1-800-843-6154 Sometimes medical assistance pays a medical bill that a third party resource should have paid. The call is free. You must also tell us if you have any other health insurance. endstream R5%CwG 4E`\'$gF1IM4l3zqn]i 0'\8b Q2>oK-OKkZ&]+Ul;.c Q&mc[9 NowuLfj>-L~}b1g&vX(}FwN'` ` A lien is filed on your real property in the following situations: When counting the 120-day period a hospital stay or a transfer to another long term care facility does not interrupt the 120-day count. endobj The call is free. endobj You can file an appeal by writing to the Bureau of Administrative Hearings, 401 South Clinton Street, Chicago, IL 60607. If the debtor submits written documentation to eliminate the debt, BCCD will issue a letter to rescind the overpayment. If the case does not meet the overpayment criteria, BCCD will deny the referral and notify the referring agency. Other adults who want medical benefits must provide proof of their immigration status. 2P t.C4PH2P,H(+*P t,,Br4\\}}. HFS offers many different healthcare programs for the people of Illinois. An administrative error includes, but is not limited to, an error caused by: Incorrect application of any Federal or State regulation, policy or procedure; Fraud committed by an individual who works for the CCAP program. A third party may be another person, an insurance company, an organization or a program. These programs typically center around maintaining , Prescott Bloom Building201 South Grand Avenue, EastSpringfield, Illinois 62763, JB Pritzker, Governor Theresa Eagleson, Director. They will send you a form. 1-866-324-5553 TTY, 2020 Illinois Department of Human Services, Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. endobj 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. Ensures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. If you need help to find a provider, call Illinois Health Connect at 1-877-912-1999. Individuals and families, including persons who are age 65 or older, blind or who have a disability can download an application fromthe Illinois Healthcare Portaland mail, fax or take it to your local DHS Family Community Resource Center. 2P t.C4PH2P,H(+*P ,MtLBr4R34C\C 4 A person who has resided in a medical institution for at least 120 calendar days is not reasonably expected to return home. If you are homeless, tell your caseworker how to reach you. Receives and analyzes "Exception Reports" from BOC. Most adults must also have been in the U.S. for at least five years. IDHS Office Locator. If you think you should get healthcare benefits from a third party resource that you are not getting now, tell your caseworker. Liens and claims are the two legal actions used to collect the amount received by AABD clients. It looks like your browser does not have JavaScript enabled. All your earned income and unearned income is reviewed when you apply for medical benefits. If you apply because you have a disability, you will be told within 60 days. Send the original Overpayment Referral packet to: Keep a copy of the overpayment packet for the client file. If you are a patient in a hospital, ask someone on the hospital staff to help you apply. In fiscal year 2015, more than $1.4 billion was collected in support owed to Illinois children. To qualify for federal child-support services funds, each state must have a centralized unit to receive and distribute child-support payments made through income withholding, even if a family has not enrolled in the full child-support services program. The lien will be released if you are discharged from the medical institution to return to your home. 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. 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. 3 0 obj WebThe Illinois Department of Human Services (IDHS) is one of Illinois' largest agencies, with more than 13,000 employees. IDHS Help Line 1-800-843-6154 1-866-324-5553 TTY The CCR&R/Site provider and Bureau of Collection will receive a copy of the letter. Where the overpayment period is over 15 months old and the information is not available in the case record. The Pre-Payment Detail Inquiry Screen and the Payment Inquiry (PF-11) screen prints for each overpayment month are mandatory. The Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. 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. 2P t.C4PH2P,H(+*P t,,Br5\4u LM5\+SRRK3SS~1f!^\!\ !4 You may also write to DHS at the address below. Chairez stated that the recipient ledger H$ Grace B. Hou, Secretary, IDHS Help Line You must tell DHS about medical benefits you receive or should receive. The Department of Human Services (DHS) helps by taking applications for medical benefits. 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 Either way, the Court may order a halt to this collection, and, repayment. In addition, the If you receive Medicare, SSI or Social Security Disability, you do not need to provide proof of your U.S. citizenship or identity. 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. JB Pritzker, Governor Theresa Eagleson, Director. 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. 09,5qVZsFII7a>B(doA!Zi.bdpgZ^4YuHz1. o;Zqy-a 0 {b' Upload the original to the client's electronic case file in IES. For more information about your right to appeal and have a fair hearing, ask your caseworker or call the number listed above. It should answer many of your questions about the programs and how they can help you. Print; PDF; Physical. 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. Please show us the original version of your documents. This is called Pay-in Spenddown. 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. 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. 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. Phone (800) 843-6154 . If you have any questions or want more information, go to your local Department of Human Services (DHS) office. 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. 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. The State of Illinois has the legal right to recover assistance received through the Aid to the Aged, Blind or Disabled (AABD) program. Liens and claims are the two legal actions used to collect the amount received by AABD clients. A claim can be filed against your estate. 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. 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 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. 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. 7 0 obj A claim will be filed against your estate in the following situations: If you received AABD cash and medical assistance, a claim will be filed to recover all cash assistance you received and any medical assistance paid after you reached age 55. WebPART 165 COLLECTIONS AND RECOVERIES The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been Transfers the payment to another applicable claim and corrects the accounts receivable file, if no refund is due. Please turn on JavaScript and try again. parent changes providers with proper notification and the original provider bills for days beyond the last day of care); The provider receives duplicate payments for services provided; The provider does not comply with program policies (i.e. Be specific and concise, but do not use abbreviations. You will receive a notice telling you the amount of your spenddown. It looks like your browser does not have JavaScript enabled. If a hospital receives a verbal request from a third party, the hospital should be prepared to identify the following to forward to the Department: As a reminder, a hospital may not refund a Medicaid payment and assert its own lien on a personal injury settlement. Persons using a teletypewriter (TTY) can call 1-800-447-6404. Child Support Services. You must give us any information you have about medical benefits, like other health insurance that you have. Medical Programs and 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. Grace B. Hou, Secretary, IDHS Help Line If and when the property is sold, the lien will be paid. Hr 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. Coordinates gathering If you do not give DHS this information, you may not be eligible for the Medical Assistance Program. If you withhold information or do not tell us the truth about your family income or assets, you may be guilty of fraud. 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. Springfield BCCD will review the Overpayment Referral and will either approve or deny the claim. If your application is approved, your medical benefits usually begin with the month you apply. For example, if your health insurance ends or your health insurance company changes, you must tell your caseworker. Hr See our Spenddown Program booklet for more information about spenddown. If you want to appeal the decision, you can write a letter requesting a hearing or fill out a Notice of Appeal form. Complete the Child Care Overpayment Referral (. . 2 0 obj The provider bills for licensed care but does not possess a DCFS license. You must see doctors who are network providers for your third party resource. Tell your medical providers that you have applied for HFS medical benefits. Be sure to read the form carefully and follow the instructions on the form. It looks like your browser does not have JavaScript enabled. The Inspector General is appointed by and reports to the Governor and is confirmed by the Senate. The State of Illinois has the legal right to recover assistance received through the Aid to the Aged, Blind or Disabled (AABD) program. endobj endstream The form is available at all local Department of Human Services offices. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. (217) 557-1601 Visit Website Map & Directions 100 S Grand Ave ESpringfield, IL 62762 Write a Review. 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. HFS was formerly the Illinois Department of Public Aid. For Lien and Estate cases in Cook County, please send email inquiries and referrals to: For Lien and Estates cases in all other jurisdictions, please send email inquiries and referrals to: For Personal Injury and Casualty cases in Cook County, please send email inquiries and referrals to: For Personal Injury and Casualty cases in all other jurisdictions, please send email inquiries and referrals to: For Workers' Compensation cases in Cook County, please send email inquiries and referrals to: For Workers' Compensation cases in all other jurisdictions, please send email inquiries and referrals to: For additional information about a waiver of estate recovery email us at the links above or write to: Illinois Department of Healthcare and Family Services Bureau of Collections - Technical Recovery SectionP.O. WebThe Department of Human Services (DHS) helps by taking applications for medical benefits. WebCollections: 217-782-1348 Comprehensive Health Services: 217-785-2867 Drug Prior Approval for Providers 1-800-252-8942 Health Benefits Hotline 1-800-226-0768 Health endobj DHS will accept your application as long as it has your name, address and signature. Tell your caseworker if you have a good reason. (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. Illinois Department of Human ServicesBureau of Customer Inquiry & Assistance100 South Grand Ave., East, 2nd Fl.Springfield, IL 62762. This amount is called your spenddown amount. If you help others withhold information or make untrue statements about their family income or assets, you also may be guilty of fraud. This is your application. Two state agencies work together to help Illinoisans get HFS Medical Program benefits. Illinois Department of Healthcare and Family Services Bureau of Collections, Technical Recovery Section 401 S. Clinton - 5th Floor Chicago, Illinois If the Medical Assistance Program decides your health plan is cost-effective, you must enroll in the health plan to be eligible for medical assistance. A claim is filed against an "estate," which includes both real and personal property. The call is free. Today: 8:00 am - 5:00 pm. A lien is filed on your real property in the following situations: 1. Hw,JMTpuV*w5Pp Springfield, IL United States. 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). Call your local DHS Family Community Resource Center or you can call: DHS Bureau of Customer Inquiry & AssistanceMonday - Friday (except state holidays)8:30 a.m. - 5 p.m.1-800-843-6154 Persons using a TTY can call 1-800-447-6404. %PDF-1.6 % Box 19174Springfield, Illinois 62794-9174. 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