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. 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. A caseworker at the local office will answer your questions. endobj DHS will accept your application as long as it has your name, address and signature. You must tell DHS about medical benefits you receive or should receive. JB Pritzker, Governor Theresa Eagleson, Director. The call is free. The Pre-Payment Detail Inquiry Screen and the Payment Inquiry (PF-11) screen prints for each overpayment month are mandatory. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 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. 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. 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 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. A claim can be filed against the estate of a deceased client. Our vision is that all Pennsylvanians live safe, healthy, and independent lives, free of discrimination and inequity. If you need help to find a provider, call Illinois Health Connect at 1-877-912-1999. 2P t.C4PH2P,H(+*P ,Mt -LBr4SRCJK4C\C $ Evaluates Family Community Resource Center productivity, quality, and timeliness, of all collections and investigations. Complete all blanks. 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 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. Fraud is a serious crime. 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. Yes. The call is free. Hr Where the overpayment period is over 15 months old and the information is not available in the case record. Office of Inspector General is maintained within the agency, but functions as a separate, independent entity reporting directly to the governor's office. You can file an appeal by writing to the Bureau of Administrative Hearings, 401 South Clinton Street, Chicago, IL 60607. 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. 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. 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. 09,5qVZsFII7a>B(doA!Zi.bdpgZ^4YuHz1. o;Zqy-a 0 {b' endstream It looks like your browser does not have JavaScript enabled. Other money you get, like money from Social Security or a pension, is unearned income. Transfers the payment to another applicable claim and corrects the accounts receivable file, if no refund is due. Hr 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). For more information about your right to appeal and have a fair hearing, ask your caseworker or call the number listed above. The amount of the lien/claim will be equal to the amount of AABD assistance you received. If you must choose a medical home, Illinois Health Connect or the Illinois Services Enrollment Broker will contact you. JB Pritzker, Governor Theresa Eagleson, Director. They will send you a form. Find your nearest vaccination location at, Child Care Assistance Program (CCAP) Policy Manual, Section 07 - Administrative Responsibilities, IL444-1900 - Child Care Overpayment Referral (pdf). A third party may be another person, an insurance company, an organization or a program. Tomorrow: 8:00 am - 5:00 pm. All your earned income and unearned income is reviewed when you apply for medical benefits. Or you may call 1-800-435-0774 (TTY: 1-877-734-7429). Child support services are available to all families, regardless of income, and to either parent. This amount is called your spenddown amount. No action will be taken to sell your property. Call or visit your local DHS office. Illinois Department of Human Services-Bureau of Blind Services. 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. WebCollection. Children under age 19 may get medical coverage while you are waiting to find out if you qualify. 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. Upload the original to the client's electronic case file in IES. 8 0 obj 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. When you receive the form, you must complete and return it to allow the state to determine if you are responsible for the bill. It will help answer many of your questions about which bills medical assistance will pay and which bills other resources pay. Payment may be made for covered medical bills if you qualify. Please turn on JavaScript and try again. Adults do not qualify if they refuse to cooperate with CSE unless they have a good reason for not cooperating. 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 It looks like your browser does not have JavaScript enabled. 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. (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 will receive a medical card in the mail that you can use for your medical expenses. 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. A lien is filed on your real property in the following situations: 1. HFS or DHS will let you know if you qualify within 45 days of the date you apply. If you have any questions or need more information, call the DHS Helpline at 1 As soon as an overpayment is identified, staff shall prepare an Overpayment Referral Packet. 6 0 obj Liens and claims are the two legal actions used to collect the amount received by AABD clients. Liens are not filed on mobile homes. 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. Wishing you and your families a peaceful and prosperous holiday season. Most people have to have a medical home. 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 caseworker cannot find you, your medical benefits will stop. IDFPR announced applications for the next round of cannabis dispensary licenses will be accepted starting in January 2023. 2P t.C4PH2P,H(+*P ,MtLBr4R34C\C 4 Child Support Services. Modified date: December 23, 2019. The call is free. Persons using a teletypewriter (TTY) can call 1-800-447-6404. HFS offers many different healthcare programs for the people of Illinois. If you qualify for medical benefits, DHS may be able to help your family pay for your funeral and burial expenses if you should die. JB Pritzker, Governor Theresa Eagleson, Director. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream A lien is filed on "real property," which is land and anything erected on, growing on, or affixed to the land, such as buildings. They are in danger of losing health insurance due to loss of employment, lay-off or retirement. 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. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. The Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. 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 Medical cannabis dispensaries may dispense medical cannabis outside restricted and limited access areas through January 31, 2023. 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. You must give us any information you have about medical benefits, like other health insurance that you have. This year, IDOI has already helped consumers find and collect more than $5 million from lost or unclaimed life insurance policies. 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. An estate claim is filed for clients who were receiving assistance at the time of death and clients who were cancelled prior to death. If you do not share this information, you will not get medical benefits. The goal is to make assistance more accessible to the citizens of Illinois. 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. 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. This is called Pay-in Spenddown. The form is available at all local Department of Human Services offices. If you withhold information or do not tell us the truth about your family income or assets, you may be guilty of fraud. . WebIllinois State-Human Service Department. You may have the option of paying your spenddown amount directly to HFS. For additional information about a waiver of estate recovery write to: llinois Department of Healthcare and Family ServicesBureau of Collections - Technical Recovery SectionP.O. The cause of each overpayment shall be classified as administrative error, client error, or provider error. Supervisors must sign and date the referral on page 2. If you have medical expenses during any of the three months before the month you apply, be sure to tell your caseworker about them. Grace B. Hou, Secretary, IDHS Help Line The success of collections depends in part on the age of the overpayment. 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. Be sure to read the form carefully and follow the instructions on the form. Hr Tell your medical providers that you have applied for HFS medical benefits. Happy Holidays from Secretary Grace Hou and IDHS! Your card will have a Third Party Liability (TPL) code printed on it for each person who is covered by a third party resource. If you are a patient in a hospital, ask someone on the hospital staff to help you apply. You will receive a notice telling you if you qualify to enroll in the Pay-in Spenddown option. Today: 8:00 am - 5:00 pm. Springfield BCCD will review the Overpayment Referral and will either approve or deny the claim. If you need help filling it out, your caseworker will help you. For example, if you get a health insurance payment for a bill HFS has paid, you must report it to your caseworker. WebThe Department of Human Services (DHS) helps by taking applications for medical benefits. endstream Persons using a teletypewriter (TTY) can call 1-800-447-6404. A caseworker at your local DHS FCRC will ask you questions and enter your answers into a computer. You can apply in person, by mail or by fax. You will receive a notice telling you the amount of your spenddown. Persons using a teletypewriter (TTY) can call 1-800-447-6404. 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. 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. \R*kS"JU.WKXk2t,=%iEZ3EYongfYvu9R> `KEM/(+$9|qeT_hON9Wj2R+N6;f Other suggestions are listed on page 2 of the Overpayment Referral form. WebDepartment of Human Services, 2021 IL App (2d) 200364 . Springfield, IL United States. A caseworker at the local office will answer the questions you have. The Inspector General is appointed by and reports to the Governor and is confirmed by the Senate. Any change you report may affect your eligibility for medical benefits. WebEnsures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. This is your application. The call is free. To find out if medical assistance paid a medical bill for which you received a payment from another source, ask your medical care provider. WebCollection Agency Registration Collection Agency Branch Office Registration Personal/Employment History Collection Agency Financial Statement Collection 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. 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). 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. You can also apply online for some programs. 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 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. He also reviewed DHSs Bureau of Collections (the BOC) recipient ledger inquiry from August 2, 2019. WebIDHS: Illinois Department of Human Services. 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. 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. This is often done by mail using a Redetermination or Renewal form. If the case does not meet the overpayment criteria, BCCD will deny the referral and notify the referring agency. This is a Google search of IDFPR, at the bottom of the search results page there will be numbers for the pages of results. Phone (800) 843-6154 . 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. WebIllinois Department of Healthcare and Family Services Bureau of Collections - Technical Recovery Section P.O. Please turn on JavaScript and try again. The hospital should fax a copy of the request or the subpoena to the Department's Bureau of Collections, Technical Recovery Section. You should also tell the provider billing you that you are covered by HFS medical benefits. For information about Department of Human Services (DHS) programs: Call or visit your local Department of Human Services office. If you receive Medicare, SSI or Social Security Disability, you do not need to provide proof of your U.S. citizenship or identity. WebIllinois Department of Human Services, Bureau of Recruitment and Selection List of Employees There's an exhaustive list of past and present employees! WebIDHS: Illinois Department of Human Services. 2P t.C4PH2P,H(+*P t,,Br5\4u LM5\+SRRK3SS~1f!^\!\ !4 At this point, IDHS Bureau of Collections establishes the debt in CARS, issues the second and subsequent overpayment letters, and collects the payments. 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 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. As long as you are eligible for the Medical Assistance Program, you will receive a medical card. Canceled because of client noncooperation and verifications are needed to prove past known or suspected overpayments and the verifications have been requested by the Family Community Resource Center. Other adults who want medical benefits must provide proof of their immigration status. The provider bills for licensed care but does not possess a DCFS license. 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. Your children who are eligible for the Medical Assistance Program will continue to receive it whether or not you cooperate. CLOSED NOW. <>/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. Grace B. Hou, Secretary, IDHS Help Line If these screen prints are missing, the referral packet will be returned. 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. Any questions regarding this notice may be directed to the following: Kelly Cunningham, AdministratorDivision of Medical Programs, JB Pritzker, Governor Theresa Eagleson, Director. It looks like your browser does not have JavaScript enabled. 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. You report may affect your eligibility for medical benefits you receive Medicare, SSI Social. Line if these screen prints for each overpayment month are mandatory use your! Old and the payment to another applicable claim and corrects the accounts receivable file, if no refund due! Call the number listed above a patient in a hospital, ask your or. Must choose a medical home, Illinois health Connect or the Illinois Services Enrollment Broker contact... Who want medical benefits payment to another applicable claim and corrects the accounts receivable,! Helps by taking applications for the medical assistance will pay and which bills other resources pay call the listed... You need help filling it out, your medical providers that you have help get... 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