This year, IDOI has already helped consumers find and collect more than $5 million from lost or unclaimed life insurance policies. 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. 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 HFS Health Benefits HotlineMonday - Friday (except state holidays)8 a.m. - 5 p.m.1-800-226-0768Persons using a TTY can call 1-887-204-1012. 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. The cause of each overpayment shall be classified as administrative error, client error, or provider error. Hospitals should report requests immediately, preferably via fax. 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. If you withhold information or do not tell us the truth about your family income or assets, you may be guilty of fraud. Any other information, such as the name of the attorney or insurance company, their address, the claim or insurance policy number, etc. 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 Other adults who want medical benefits must provide proof of their immigration status. Providers who wish to have monthly payment reductions from future payments shall coordinate this option H,N07GFbCd>~2VU!g|A+ 3rN9=%s&?FG'SIq jQGZ.6,E{ & 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. You must see doctors who are network providers for your third party resource. <>stream llinois Department of Healthcare and Family Services, Bureau of Collections - Technical Recovery Section, 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 office. HFS Medical Programs are for some people who need help getting and paying for medical care. endstream Assets are the things you own, like money in a bank account or life insurance. A third party may be another person, an insurance company, an organization or a program. 1-866-324-5553 TTY, 2020 Illinois Department of Human Services, Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. Illinois Department of Healthcare and Family Services Bureau of Collections, Technical Recovery Section 401 S. Clinton - 5th Floor Chicago, Illinois A client error includes, but is not limited to, an error that occurs when: The client fails to report or falsely reports income or household composition that affects the amount of the parent copayment. The CCR&R/Site provider and Bureau of Collection will receive a copy of the new letter. IDFPR announced its proposed rules implementing the Illinois Community Reinvestment Act ("CRA") were published by the Illinois Secretary of State. WebIDHS: Illinois Department of Human Services. Any questions regarding this notice may be directed to the following: Kelly Cunningham, AdministratorDivision of Medical Programs, JB Pritzker, Governor Theresa Eagleson, Director. The form is available at all local Department of Human Services offices. You must let your caseworker know when you move so your medical card and other important information can be sent to your new address. 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. By administrative rule 89 Ill. Admin. Please turn on JavaScript and try again. If you receive Medicare, SSI or Social Security Disability, you do not need to provide proof of your U.S. citizenship or identity. WebAbout DHS Our mission is to assist Pennsylvanians in leading safe, healthy, and productive lives through equitable, trauma-informed, and outcome-focused services while being an accountable steward of commonwealth resources. If you are age 65 or older, are blind or have a disability, your assets will also be reviewed. Be sure to give your complete name and address. Please turn on JavaScript and try again. He also reviewed DHSs Bureau of Collections (the BOC) recipient ledger inquiry from August 2, 2019. Please show us the original version of your documents. Grace B. Hou, Secretary, IDHS Help Line 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 information does not apply, enter N/A. Tell your medical providers that you have applied for HFS medical benefits. Complete the Child Care Overpayment Referral (. 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. 6 0 obj It will help answer many of your questions about which bills medical assistance will pay and which bills other resources pay. the provider charges the subsidized parent more than they charge private pay parents.). Sometimes medical assistance pays a medical bill that a third party resource should have paid. WebDepartment of Human Services, 2021 IL App (2d) 200364 . WebThe Department of Human Services (DHS) helps by taking applications for medical benefits. Serves as Family Community Resource Center liaison to: Acts as a resource for Family Community Resource Center collection activities including: Controls Family Community Resource Center activities identifying, verifying, and figuring overpayments, including monitoring all referrals from the bureaus of Collections, Investigations, Quality Control, Child Support Enforcement, and Research and Analysis. A medical home is a doctor's office or clinic that knows you and knows about your healthcare needs. 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. 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. WebCollection Agency Registration Collection Agency Branch Office Registration Personal/Employment History Collection Agency Financial Statement Collection Illinois Department of Human ServicesBureau of Customer Inquiry & Assistance100 South Grand Ave., East, 2nd Fl.Springfield, IL 62762. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 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. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream WebEnsures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. endstream Please turn on JavaScript and try again. You will receive a notice telling you the amount of your spenddown. The medical assistance programs are administered under provisions of the IllinoisPublic Aid Code; Illinois Childrens Health Insurance Program Act; Covering All Kids Health Insurance Act; and Titles XIX and XXI of the federal Social Security Act. Coordinates gathering The CCR&R/Site provider and Bureau of Collection will receive a copy of the letter. Be specific and concise, but do not use abbreviations. 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. Fraud is a serious crime. WebIllinois Department of Human Services Bureau of Customer Inquiry & Assistance Monday Friday (except state holidays) 7:30 a.m. - 7 p.m. Tell them about the problem you are having with the medical bill. Hr If you are a patient in a hospital, ask someone on the hospital staff to help you apply. Railroad retirement and other retirement pension plans that provide health insurance coverage, Private health insurance - a health insurance policy bought from an insurance company, Group health insurance health insurance provided through an organization such as an employer, union or veterans' organization, Worker's compensation insurance coverage provided by an employer for work-related injuries, CHAMPUS (Civilian Health and Medical Program of the Uniformed Services) - medical coverage for family members of uniformed service personnel, Court orders requiring a separated or divorced parent to provide health insurance or to pay medical costs for a dependent. Which petition would be best depends on what - if any - litigation has been filed in court Liens are filed on both homestead and non-homestead property. Any change you report may affect your eligibility for medical benefits. The lien will be released if you are discharged from the medical institution to return to your home. Hw,JMTpuV*w5Pp If you need help filling it out, your caseworker will help you. 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. If you apply because you have a disability, you will be told within 60 days. Sometimes these programs are called Medicaid, All Kids, FamilyCare, Moms & Babies or HFS Medical Benefits. Where the overpayment period is over 15 months old and the information is not available in the case record. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. When this happens, medical assistance has the right, by law, to collect its payment from the third party. If you must choose a medical home, Illinois Health Connect or the Illinois Services Enrollment Broker will contact you. Get comprehensive information on the number of employees at Illinois Department of Human Services, Bureau of Recruitment and Selection. Documentation includes, but is not limited to, IPACS screen prints, child care application and/or redetermination forms, check stubs, school schedule, grades, SAMS warrant inquiry screen print. A lien will not be filed against your real property when you reside in a long term care facility 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. Tell your caseworker if you have a good reason. Other real estate and buildings that you own (but do not live in) are considered non-homestead property. Grace B. Hou, Secretary. DHS or HFS reviews your case at least once a year to see if you still qualify for medical benefits. If you cannot stay for an interview, you may take a paper application to fill out at home and return it by mail, fax, or in person. By law (305 ILCS 5/5-5), the Department requires that providers of medical services participating in the Medical Assistance Program disclose all inquiries from clients and attorneys regarding medical bills paid by the Department, as such inquiries could indicate potential existence of claims or liens for the Department. 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. If you are found guilty of this crime, you may have to pay a fine, go to prison, or both. A pregnant woman is encouraged, but not required, to provide proof of immigration status. 5 0 obj If you received AABD medical assistance only, a claim will be filed for the amount of medical assistance paid after your 55th birthday. The State of Illinois has the legal right to recover assistance received through the Aid to the Aged, Blind or Disabled (AABD) program. When you receive the form, you must complete and return it to allow the state to determine if you are responsible for the bill. The call is free. The call is free. Find your nearest vaccination location at, Workers' Action Guide Chapter Table of Contents, WAG 23: Financial Adjustments and Recovery, WAG 23-02-03: Special Overpayment Situations. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream The call is free. 4 0 obj Persons using a teletypewriter (TTY) can call 1-800-447-6404. Press Release No action will be taken to sell your property. Find your nearest vaccination location at, Child Care Assistance Program (CCAP) Policy Manual, Section 07 - Administrative Responsibilities, IL444-1900 - Child Care Overpayment Referral (pdf). If the debtor submits written documentation to eliminate the debt, BCCD will issue a letter to rescind the overpayment. A lien will be filed against both homestead and non-homestead real property, regardless of the property's market value. If you do not share this information, you will not get medical benefits. It looks like your browser does not have JavaScript enabled. , Prescott Bloom Building201 South Grand Avenue, EastSpringfield, Illinois 62763, JB Pritzker, Governor Theresa Eagleson, Director. Our vision is that all Pennsylvanians live safe, healthy, and independent lives, free of discrimination and inequity. A caseworker at the local office will answer the questions you have. The Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. Persons who receive medical assistance only and who have resided in a medical institution for at least 120 calendar days will be notified of the decision to file a lien on their real property. WebIDOT consists of ten supporting offices. 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. Be the first to review! 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 call is free. Click here to keep up to date and check out IDFPR's press releases. Other suggestions are listed on page 2 of the Overpayment Referral form. Customers DHS can help you and your family meet your basic needs. Tomorrow: 8:00 am - 5:00 pm. At the hearing, you may represent yourself or be represented by a lawyer, relative or friend. Please turn on JavaScript and try again. Alcoholism Information & Treatment Centers. If you do not give DHS this information, you may not be eligible for the Medical Assistance Program. As long as you are eligible for the Medical Assistance Program, you will receive a medical card. Your card will have a Third Party Liability (TPL) code printed on it for each person who is covered by a third party resource. Bureau County Illinois; Households (Total) 13,805: 4,830,038: Receiving Food Stamps: 1,723 (12.5%) 631,076 Box 19502 Springfield, Illinois 62794-9502 If you cannot pay the full amount, you must make This booklet explains the Healthcare and Family Services (HFS) Medical programs. DHS will accept your application as long as it has your name, address and signature. A caseworker at the office will answer the questions you have. All payments are handled by IDHS Bureau of Collections. This is a Google search of IDFPR, at the bottom of the search results page there will be numbers for the pages of results. 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. This includes requests for patients covered under the Medicaid fee-for-service program or a managed care plan. Coordinates gathering documents and case records for criminal or civil cases. 2P t.C4PH2P,H(+*P ,Mt -LBr4SRCJK4C\C $ Box 19174 Springfield, Illinois 62794-9174 For information about JB Pritzker, Governor Theresa Eagleson, Director. JB Pritzker, Governor Theresa Eagleson, Director. Two state agencies work together to help Illinoisans get HFS Medical Program benefits. The Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. We will contact the U.S. Bureau of Citizenship and Immigration Services to check their status. Springfield, IL United States. 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. You may choose your current medical provider if they are enrolled with HFS. 1-800-843-6154 *JAgN] R8 Guide to the Medicaid Estate Recovery Program, Hardship Waiver Information and Statistics. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream HFS or DHS will let you know if you qualify within 45 days of the date you apply. Either way, the Court may order a halt to this collection, and, repayment. 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. If you have any questions or want more information, go to your local Department of Human Services (DHS) office. DHS can help with this. 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. 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 It looks like your browser does not have JavaScript enabled. 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. 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. An estate claim is filed for clients who were receiving assistance at the time of death and clients who were cancelled prior to death. 1-866-324-5553 TTY, 2020 Illinois Department of Human Services, Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. mZM@T#8$z#*Gjom&xc.ez <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream R5%CwG 4E`\'$gF1IM4l3zqn]i 0'\8b Q2>oK-OKkZ&]+Ul;.c Q&mc[9 NowuLfj>-L~}b1g&vX(}FwN'` ` A person who has resided in a medical institution for at least 120 calendar days is not reasonably expected to return home. You can file an appeal by writing to the Bureau of Administrative Hearings, 401 South Clinton Street, Chicago, IL 60607. Illinois adult use cannabis dispensaries sold $1,552,324,820.37 worth of product in 2022, an increase of more than 12% from 2021. Persons using a teletypewriter (TTY) can call 1-800-447-6404. Grace B. Hou, Secretary, IDHS Help Line Persons using a teletypewriter (TTY) can call 1-877-204-1012. A caseworker at your local DHS FCRC will ask you questions and enter your answers into a computer. Supervisors must sign and date the referral on page 2. Office of Inspector General is maintained within the agency, but functions as a separate, independent entity reporting directly to the governor's office. If possible, you should not pay your medical bills until you learn whether you qualify for medical benefits. Alternate Phone (866) 324-5553 (TTY) Organization Website Address. If these screen prints are missing, the referral packet will be returned. 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. If you receive AABD cash and medical assistance, a lien will be filed in the amount of the cash assistance that was received. 7 0 obj If you have any questions or need more information, call the DHS Helpline at 1-800-843-6154, Monday through Friday (except state holidays), between 8:30 a.m. and 5 p.m. JB Pritzker, Governor Theresa Eagleson, Director. It should answer many of your questions about the programs and how they can help you. You can also apply online for some programs. endobj In addition, the 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. Yes. As soon as an overpayment is identified, staff shall prepare an Overpayment Referral Packet. 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. 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. An overpayment shall be classified as an administrative error if the error was caused solely by actions taken by the department or its agent. HFS pays for most medical care you get while you qualify. In certain situations, liens on real property and claims against estates are used to do this. Box 19174Springfield, Illinois 62794-9174. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream Today: 8:00 am - 5:00 pm. 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. Springfield BCCD will review the Overpayment Referral and will either approve or deny the claim. WebThe Illinois Department of Human Services (IDHS) is one of Illinois' largest agencies, with more than 13,000 employees. 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. Persons using a TTY can call 1-866-565-8577. 2P t.C4PH2P,H(+*P t,,Br4\\}}. Fax number for Cook residents: 312-338-0304, Fax number for all other counties: 217-524-5672, Telephone number for Cook County residents: 312-793-3528 and 312-793-3529, Telephone number for all other counties: 217-785-8711. In fiscal year 2015, more than $1.4 billion was collected in support owed to Illinois children. Transfers the payment to another applicable claim and corrects the accounts receivable file, if no refund is due. Send the original Overpayment Referral packet to: Keep a copy of the overpayment packet for the client file. We offer a range of services to help you become healthy and self Modified date: December 23, 2019. 8 0 obj The success of collections depends in part on the age of the overpayment. This amount is called your spenddown amount. The amount of the lien/claim will be equal to the amount of AABD assistance you received. Happy Holidays from Secretary Grace Hou and IDHS! Depending on your income and situation you may also have to cooperate with Child Support Enforcement (CSE) activities. endstream 1-800-843-6154 A claim can be filed against the estate of a deceased client. Toll-free 1-800-843-6154 or (TTY) 1 For more information about your right to appeal and have a fair hearing, ask your caseworker or call the number listed above. Works with the Bureau of Investigations, the Illinois State Police, and the Attorney General. If you want to appeal the decision, you can write a letter requesting a hearing or fill out a Notice of Appeal form. HFS has the legal right to recover the amount it paid for medical care for some persons who are aged, blind or have a disability. If and when the property is sold, the lien will be paid. To find the FCRC for your county or Zip code, visit DHS' Web site or call 1-800-843-6154. Within the first five years that an overpayment is identified, the department recovers a WebIllinois Department of Employment Security Benefit Payment Control, Overpayment Recovery and Collections 800-245-9762 If your debt has been paid in full, or if you do H$ \R*kS"JU.WKXk2t,=%iEZ3EYongfYvu9R> `KEM/(+$9|qeT_hON9Wj2R+N6;f 09,5qVZsFII7a>B(doA!Zi.bdpgZ^4YuHz1. o;Zqy-a 0 {b' 3 0 obj 2 0 obj The call is free. Two state agencies work together to help Illinoisans get HFS Medical Program benefits. IDHS Office Locator. It looks like your browser does not have JavaScript enabled. Canceled for receipt of earned income and receipt of past unreported earnings is known or suspected and the employer has been contacted by the Family Community Resource Center, but the employer does not initially cooperate. endobj For example, if your health insurance ends or your health insurance company changes, you must tell your caseworker. If your application is approved, your medical benefits usually begin with the month you apply. If you are receiving or are approved to receive Supplemental Security Income (SSI), Social Security Disability or Railroad Disability benefits, you do not have to give us documents to prove you are aged or blind or have a disability. Phone (800) 843-6154 . This is your application. endobj Hr Other money you get, like money from Social Security or a pension, is unearned income. If you think you should get healthcare benefits from a third party resource that you are not getting now, tell your caseworker. 9 0 obj Most people have to have a medical home. WebBOC - Bureau of Collections BoFS - Bureau of Fiscal Services BOI - Bureau of Investigations BOMB - Bureau of Management and Budget BOS - Bureau of Operations The TPL code lets your doctor, hospital or clinic know that there is a third party that may be responsible to pay for all or part of your medical care. See our Spenddown Program booklet for more information about spenddown. H$M 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. 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 They will send you a form. To apply for medical benefits in person, go to your local DHS Family Community Resource Center (FCRC). 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. Call or visit your local Department of Human Services office. Other government ID (city, county, or U.S. state issued). A lien is filed on "real property," which is land and anything erected on, growing on, or affixed to the land, such as buildings. If I get Medical Assistance and have Third Party Resources, what are my responsibilities? endstream They are in danger of losing health insurance due to loss of employment, lay-off or retirement. A claim is filed against an "estate," which includes both real and personal property. A lien can be filed on any real property you own. Medical Programs and endobj 1-800-843-6154 This is often done by mail using a Redetermination or Renewal form. The Pre-Payment Detail Inquiry Screen and the Payment Inquiry (PF-11) screen prints for each overpayment month are mandatory. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. 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. The goal is to make assistance more accessible to the citizens of Illinois. If you have medical expenses during any of the three months before the month you apply, be sure to tell your caseworker about them. WebIllinois Department of Human Services, Bureau of Recruitment and Selection List of Employees There's an exhaustive list of past and present employees! 1-866-324-5553 TTY, 2020 Illinois Department of Human Services, Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. The call is free. You can apply in person, by mail or by fax. 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. HlSM0G? endobj The Illinois Department of Healthcare and Family Services (HFS) is responsible for providing healthcare coverage for adults and children who qualify for Medicaid, and for providing Child Support Services to help ensure that Illinois children receive financial support from both parents. If you cannot keep an appointment, be sure to tell your caseworker right away. Grace B. Hou, Secretary, IDHS Help Line The provider bills for licensed care but does not possess a DCFS license. A caseworker at the local office will answer your questions. 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. If you help others withhold information or make untrue statements about their family income or assets, you also may be guilty of fraud. Home and special nursing care (only for children under 21), Rehabilitation assistance (physical therapy). %PDF-1.6 % 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. Child Support Services. The call is free. Chairez stated that the recipient ledger @{RUjE}kz!rvn}Br|yQds?Wg7B  r'5lo@4c"hFA A lien is filed on your real property in the following situations: 1. DHS or HFS will send a letter to you if you can be repaid. endstream Please turn on JavaScript and try again. Supervisors should review and approve each overpayment referral. 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. WebPART 165 COLLECTIONS AND RECOVERIES The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been You must tell DHS about medical benefits you receive or should receive. If the case does not meet the overpayment criteria, BCCD will deny the referral and notify the referring agency. For children under age 16, school or day care records or a report card. Hr If you need help to find a provider, call Illinois Health Connect at 1-877-912-1999. 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. endobj For more information, call the All Kids Hotline at 1-866-ALL-KIDS (1-866-255-5437). WebState of Illinois Department of Human Services Bureau of Collections P.O. The Inspector General is appointed by and reports to the Governor and is confirmed by the Senate. 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). Sometimes HFS pays a medical bill that someone else or other insurance should have paid for you. These programs typically center around maintaining endstream 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. Persons using a teletypewriter (TTY) can call 1-800-447-6404. Be sure to read the form carefully and follow the instructions on the form. Receives and analyzes "Exception Reports" from BOC. Persons using a TTY can call 1-800-447-6404. IDHS Help Line 1-800-843-6154 1-866-324-5553 TTY 10 0 obj To find out if medical assistance paid a medical bill for which you received a payment from another source, ask your medical care provider. To: Enrolled Hospitals: Chief Executive Officers: Chief Financial Officers: and Patient Accounts Managers, Re: Third Party Requests for Medicaid Patient Bills and Medical Records, _____________________________________________________________________________. 2P t.C4PH2P,H(+*P ,MtLBr4R34C\C 4 endstream Your children who are eligible for the Medical Assistance Program will continue to receive it whether or not you cooperate. Takes action to make corrections. Hr 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. The hospital should fax a copy of the request or the subpoena to the Department's Bureau of Collections, Technical Recovery Section. The call is free. If you have any questions or need more information, call the DHS Helpline at 1 You can also fill it out, sign it, and leave it at the FCRC. Liens and claims are the two legal actions used to collect the amount received by AABD clients. If you have a good reason for not giving us this information, tell your caseworker. A claim may not be filed against your estate if recovery would cause an heir or beneficiary undue hardship. You will receive a notice telling you if you qualify to enroll in the Pay-in Spenddown option. 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. WebThe Illinois Department of Human Services ( IDHS) is the department [1] [2] of the Illinois state government responsible for providing a wide variety of safety net services to Illinois residents in poverty, who are facing other economic challenges, or who have any of a variety of disabilities. WebIDHS: Illinois Department of Human Services. It looks like your browser does not have JavaScript enabled. If you do not know where your local office is or you are unable to go to there, call: Illinois Department of Human ServicesBureau of Customer Inquiry & AssistanceMonday Friday (except state holidays) 7:30 a.m. - 7 p.m.Toll-free1-800-843-6154 or (TTY) 1-800-447-6404. 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. 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. 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. For information about Department of Human Services (DHS) programs: Call or visit your local Department of Human Services office. 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. You will receive a medical card in the mail that you can use for your medical expenses. 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). (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. 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. If your caseworker cannot find you, your medical benefits will stop. The following organization chart represents basic structure and the departments senior management. Medical cannabis dispensaries may dispense medical cannabis outside restricted and limited access areas through January 31, 2023. 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 The client fails to timely report a change in income, hours of employment or school, household composition or provider arrangements and the change would have resulted in a lesser benefit received. (217) 557-1601 Visit Website Map & Directions 100 S Grand Ave ESpringfield, IL 62762 Write a Review. Adults do not qualify if they refuse to cooperate with CSE unless they have a good reason for not cooperating. Most people who want medical benefits, who are not U.S. citizens, must provide proof of immigration status. It looks like your browser does not have JavaScript enabled. HFS offers many different healthcare programs for the people of Illinois. Upload the original to the client's electronic case file in IES. The Bureau of Collections makes all repayment arrangements, including negotiating all installment repayment plans for canceled SNAP cases. 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. You must give us any information you have about medical benefits, like other health insurance that you have. Copies of the letter will be sent to: IDHS Bureau of Collections. Your caseworker will tell you how to apply for these benefits. If you are homeless, tell your caseworker how to reach you. 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. If you receive AABD cash and medical 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. Provide a summary of the program violation(s). 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. Save copies of any medical bills you paid after your time limit. WebIllinois Department of Healthcare and Family Services Bureau of Collections - Technical Recovery Section P.O. Liens are not filed on mobile homes. Homestead property is the dwelling and adjacent property that you own and live in. A hospital's notification can also be telephoned or mailed, as noted below: Illinois Department of Healthcare and Family ServicesBureau of Collections, Technical Recovery Section 401 S. Clinton - 5th Floor Chicago, Illinois 60607-3800Attn: Personal Injury Unit, Illinois Department of Healthcare and Family ServicesBureau of Collections, Technical Recovery Section P.O. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream Earned income is wages from your job or profits from your business. 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. 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. Child support services are available to all families, regardless of income, and to either parent. WebCollection. . The departments mission is to improve the health status of the individuals enrolled in its programs, while simultaneously containing costs and maintaining program integrity. You should also tell the provider billing you that you are covered by HFS medical benefits. Most adults must also have been in the U.S. for at least five years. Box 19174Springfield, Illinois 62794-9174Attn: Personal Injury Unit. The provider bills for children no longer in their care; The provider bills for full time care when the children were only eligible for or attended part time care; The provider inaccurately reports his or her relationship to the child or the location at which care is given; The provider bills for more days than the child is approved; or. If you receive AABD medical assistance only, reside in a long term care facility, and have resided for at least 120 calendar days in a medical institution, a lien will be filed in the amount of all medical assistance received, both before and during the time in a long term care facility. If you are discharged from the long term care facility to the community and then return to a medical institution, the 120-day count starts over with the first day of re-admission. Or you may call 1-800-435-0774 (TTY: 1-877-734-7429). A claim can be filed against your estate. 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. HFS was formerly the Illinois Department of Public Aid. Box 19174Springfield, Illinois 62794-9174. 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. r "9)1BR` w If you do not get these benefits, then your age, blindness or disability will be reviewed when you apply. Box 19174Springfield, Illinois 62794-9174. Please turn on JavaScript and try again. Code Section 140.12(g), the provider agrees to furnish to the Department, in the form and manner requested by it, any information it requests regarding payments for providing goods or services, or in connection with the rendering of goods or services or supplies to recipients by the provider, his agent, employer or employee. At this point, IDHS Bureau of Collections establishes the debt in CARS, issues the second and subsequent overpayment letters, and collects the payments. 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 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. (FCRC) If an FCRC finds that the overpayment amount has changed, send Change of Overpayment Information (Form 2404C) to the Bureau of Collections, 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. DHS will send you a letter to let you know if they need more information. 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. Include all written documentation to support or defend that an overpayment occurred. endobj 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. Call or visit your local DHS office. It looks like your browser does not have JavaScript enabled. Wishing you and your families a peaceful and prosperous holiday season. Your children who qualify for medical benefits will continue to receive them whether or not you cooperate. However, you may qualify for medical benefits to cover up to three months before the month you apply. 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. Payment may be made for covered medical bills if you qualify. If the debtor submits written documentation to reduce the debt, BCCD will issue a new letter indicating the new balance. @~b0E,el8[R$;inx8R+pSxwChE?7. Illinois Department of Human Services-Bureau of Blind Services. The agency is organized into two major divisions, The working group developed several of the proposed policies codified in the law, signed by Gov. CLOSED NOW. You must also tell us if you have any other health insurance. Print; PDF; Physical. Evaluates Family Community Resource Center productivity, quality, and timeliness, of all collections and investigations. &C6 You do not have to come to the office, but you must try to keep all your telephone appointments with your caseworker. endobj Are a U.S. citizen or meet certain non-citizen requirements; Meet the program rules described in this section. 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. For example, if you get a health insurance payment for a bill HFS has paid, you must report it to your caseworker. 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. The Department of Human Services (DHS) helps by taking applications for medical benefits. Ensures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. If the case meets the criteria for overpayment, BCCD will issue the Overpayment letter. 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. The call is free. 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. All your earned income and unearned income is reviewed when you apply for medical benefits. 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. 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. If your application for medical benefits is turned down, you can appeal and ask for a special meeting called a fair hearing in one of the following ways: Your local Family Community Resource Center can give you an appeal form and will help you fill it out, if you wish. Complete all blanks. The report highlights trends in the high interest consumer lending marketplace in 2021. You will be notified of the results of the review. J.B. Pritzker in May, streamlining the process for obtaining services for children who need them and strengthening the cross-collaboration between the states child welfare, early care and learning agencies. 2P t.C4PH2P,H(+*P t,,Br5\4u LM5\+SRRK3SS~1f!^\!\ !4 All overpayment inquiries shall be directed to the. 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