Or you may call 1-800-435-0774 (TTY: 1-877-734-7429). A lien can be filed on any real property you own. 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. WebCollection Agency Registration Collection Agency Branch Office Registration Personal/Employment History Collection Agency Financial Statement Collection 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 <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream Adults do not qualify if they refuse to cooperate with CSE unless they have a good reason for not cooperating. If you are homeless, tell your caseworker how to reach you. 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. Fraud is a serious crime. 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. You must tell DHS about medical benefits you receive or should receive. To apply for medical benefits in person, go to your local DHS Family Community Resource Center (FCRC). For more information about your right to appeal and have a fair hearing, ask your caseworker or call the number listed above. endstream Office of Inspector General is maintained within the agency, but functions as a separate, independent entity reporting directly to the governor's office. A claim is filed against an "estate," which includes both real and personal property. Illinois Department of Human ServicesBureau of Customer Inquiry & Assistance100 South Grand Ave., East, 2nd Fl.Springfield, IL 62762. The success of collections depends in part on the age of the overpayment. 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. 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. 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 departments mission is to improve the health status of the individuals enrolled in its programs, while simultaneously containing costs and maintaining program integrity. Which petition would be best depends on what - if any - litigation has been filed in court If you have a good reason for not giving us this information, tell your caseworker. To: Enrolled Hospitals: Chief Executive Officers: Chief Financial Officers: and Patient Accounts Managers, Re: Third Party Requests for Medicaid Patient Bills and Medical Records, _____________________________________________________________________________. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream The call is free. The State of Illinois has the legal right to recover assistance received through the Aid to the Aged, Blind or Disabled (AABD) program. 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. DHS will accept your application as long as it has your name, address and signature. The amount of the lien/claim will be equal to the amount of AABD assistance you received. 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. (217) 557-1601 Visit Website Map & Directions 100 S Grand Ave ESpringfield, IL 62762 Write a Review. The call is free. Today: 8:00 am - 5:00 pm. 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. Please turn on JavaScript and try again. Child Support Services. Sometimes HFS pays a medical bill that someone else or other insurance should have paid for you. Any change you report may affect your eligibility for medical benefits. Hw,JMTpuV*w5Pp HFS offers many different healthcare programs for the people of Illinois. If you have any questions or want more information, go to your local Department of Human Services (DHS) office. For children under age 16, school or day care records or a report card. When this happens, medical assistance has the right, by law, to collect its payment from the third party. Please turn on JavaScript and try again. If you apply because you have a disability, you will be told within 60 days. It looks like your browser does not have JavaScript enabled. Liens are not filed on mobile homes. WebIllinois Department of Human Services, Bureau of Recruitment and Selection List of Employees There's an exhaustive list of past and present employees! Hr DHS can help with this. *JAgN] R8 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. You should also tell the provider billing you that you are covered by HFS medical benefits. 1-800-843-6154 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. 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 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. 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. 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 It looks like your browser does not have JavaScript enabled. Illinois adult use cannabis dispensaries sold $1,552,324,820.37 worth of product in 2022, an increase of more than 12% from 2021. Include all written documentation to support or defend that an overpayment occurred. HlSM0G? 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. The call is free. Illinois medical assistance programs, consisting of Medicaid and numerous other medical programs associated with it, provide comprehensive health-care coverage to about 3.2 million Illinoisans. A claim may not be filed against your estate if recovery would cause an heir or beneficiary undue hardship. We will contact the U.S. Bureau of Citizenship and Immigration Services to check their status. 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. If you are a patient in a hospital, ask someone on the hospital staff to help you apply. A lien is filed on your real property in the following situations: 1. You must also tell us if you have any other health insurance. endobj The call is free. All your earned income and unearned income is reviewed when you apply for medical benefits. 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. Other suggestions are listed on page 2 of the Overpayment Referral form. 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. Hr 2P t.C4PH2P,H(+*P ,MtLBr4R34C\C 4 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 You will receive a medical card in the mail that you can use for your medical expenses. However, you may qualify for medical benefits to cover up to three months before the month you apply. Persons using a TTY can call 1-800-447-6404. Print; PDF; Physical. Children under age 19 may get medical coverage while you are waiting to find out if you qualify. For example, if you get a health insurance payment for a bill HFS has paid, you must report it to your caseworker. Assets are the things you own, like money in a bank account or life insurance. If you receive AABD cash and medical assistance, a lien will be filed in the amount of the cash assistance that was received. Illinois Department of Human Services-Bureau of Blind Services. Click here to keep up to date and check out IDFPR's press releases. 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. You will receive a notice telling you if you qualify to enroll in the Pay-in Spenddown option. endstream This booklet explains the Healthcare and Family Services (HFS) Medical programs. If and when the property is sold, the lien will be paid. If you do not share this information, you will not get medical benefits. Persons using a teletypewriter (TTY) can call 1-800-447-6404. 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. Call or visit your local Department of Human Services office. If information does not apply, enter N/A. 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. @~b0E,el8[R$;inx8R+pSxwChE?7. A claim can be filed against your estate. 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. 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. Receives and analyzes "Exception Reports" from BOC. Box 19174Springfield, Illinois 62794-9174Attn: Personal Injury Unit. endobj An overpayment shall be classified as an administrative error if the error was caused solely by actions taken by the department or its agent. A claim can be filed against the estate of a deceased client. If you think you should get healthcare benefits from a third party resource that you are not getting now, tell your caseworker. Hospitals should report requests immediately, preferably via fax. The call is free. 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. 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. DHS or HFS reviews your case at least once a year to see if you still qualify for medical benefits. You must see doctors who are network providers for your third party resource. 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 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. Liens are filed on both homestead and non-homestead property. Box 19174Springfield, Illinois 62794-9174. 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. A caseworker at the local office will answer your questions. WebIDOT consists of ten supporting offices. Persons using a teletypewriter (TTY) can call 1-877-204-1012. Please show us the original version of your documents. A person who has resided in a medical institution for at least 120 calendar days is not reasonably expected to return home. If you need help filling it out, your caseworker will help you. The report highlights trends in the high interest consumer lending marketplace in 2021. These programs typically center around maintaining An estate claim is filed for clients who were receiving assistance at the time of death and clients who were cancelled prior to death. 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. 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. 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. 9 0 obj 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. 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. 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. Alcoholism Information & Treatment Centers. You can apply in person, by mail or by fax. 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. IDFPR announced its proposed rules implementing the Illinois Community Reinvestment Act ("CRA") were published by the Illinois Secretary of State. No action will be taken to sell your property. Send the original Overpayment Referral packet to: Keep a copy of the overpayment packet for the client file. 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 Happy Holidays from Secretary Grace Hou and IDHS! 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). WebCollection. If possible, you should not pay your medical bills until you learn whether you qualify for medical benefits. Tell them about the problem you are having with the medical bill. Alternate Phone (866) 324-5553 (TTY) Organization Website Address. 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. Phone (800) 843-6154 . 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. If I get Medical Assistance and have Third Party Resources, what are my responsibilities? 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. 7 0 obj Complete all blanks. 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. WebIllinois Department of Healthcare and Family Services Bureau of Collections - Technical Recovery Section P.O. It looks like your browser does not have JavaScript enabled. 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 Customer Inquiry & Assistance Monday Friday (except state holidays) 7:30 a.m. - 7 p.m. Toll-free 1-800-843-6154 or (TTY) 1 CLOSED NOW. Customers DHS can help you and your family meet your basic needs. It looks like your browser does not have JavaScript enabled. 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. WebThe Department of Human Services (DHS) helps by taking applications for medical benefits. 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 caseworker at the local office will answer the questions you have. The call is free. The form is available at all local Department of Human Services offices. Complete the Child Care Overpayment Referral (. Mail or take your letter or appeal form to your local Department of Human Services office or mail it to IDHS, Assistance Hearing Section, 401 South Clinton Avenue, Chicago, IL 60607. You do not have to come to the office, but you must try to keep all your telephone appointments with your caseworker. 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. You must give us any information you have about medical benefits, like other health insurance that you have. Press Release Most people who want medical benefits, who are not U.S. citizens, must provide proof of immigration status. Find your nearest vaccination location at, Child Care Assistance Program (CCAP) Policy Manual, Section 07 - Administrative Responsibilities, IL444-1900 - Child Care Overpayment Referral (pdf). @{RUjE}kz!rvn}Br|yQds?Wg7B r'5lo@4c"hFA Transfers the payment to another applicable claim and corrects the accounts receivable file, if no refund is due. This year, IDOI has already helped consumers find and collect more than $5 million from lost or unclaimed life insurance policies. 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. Be the first to review! 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. 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. The Pre-Payment Detail Inquiry Screen and the Payment Inquiry (PF-11) screen prints for each overpayment month are mandatory. A lien will be filed against both homestead and non-homestead real property, regardless of the property's market value. (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. Coordinates gathering documents and case records for criminal or civil cases. He also reviewed DHSs Bureau of Collections (the BOC) recipient ledger inquiry from August 2, 2019. 2 0 obj Illinois Department of Healthcare and Family Services Bureau of Collections, Technical Recovery Section 401 S. Clinton - 5th Floor Chicago, Illinois And non-homestead real property, regardless of the form estate, '' includes... Are waiting to find out if you qualify to enroll in the amount of the cash assistance that received... You are having with the medical bill that someone else or other insurance should have paid for.... Accept your application as long as it has your name, address and signature be told within days! In 2021 Injury Unit 866 ) 324-5553 ( TTY ) can call 1-800-447-6404 you... Be paid the things you own, like other health insurance teletypewriter ( TTY: 1-877-734-7429 ) office will your. Hfs reviews your case at least 120 calendar days is not reasonably expected to home... /Pdf/Text ] > > stream the call is free paid for you apply for medical,! Your application as long as it has your name, address and.! Referral packet to: keep a copy of the lien/claim will be in... Assistance, a lien can be filed against your estate if recovery would cause an heir or beneficiary undue.. Click here to keep all your earned income and unearned income is reviewed when you apply you! Community resource Center ( FCRC ) Make a copy of the lien/claim will be equal to office. The high interest consumer lending marketplace in 2021 change you report may affect your eligibility for medical benefits email DHS. El8 [ R $ ; inx8R+pSxwChE? 7 sometimes HFS pays a medical institution for least. Now, tell your caseworker or call the number listed above ) Make a copy the. Filed in the high interest consumer lending marketplace in 2021 has the right by. My responsibilities any change you report may affect your eligibility for medical.. Address and signature now, tell your caseworker or call the number listed above having with the bill., address and signature Secretary of State property is sold, the lien be! Have third party resource will contact the U.S. Bureau of Customer Inquiry & Assistance100 South Grand Ave.,,... Homestead and non-homestead property @ ~b0E, el8 [ R $ ; inx8R+pSxwChE? 7 you will a... Use cannabis dispensaries sold $ 1,552,324,820.37 worth of product in 2022, an increase of more than %! A disability, you will not get medical assistance has the right, by law, to collect payment. Own, like other health insurance payment for a bill HFS has paid, you will told! You will not get medical benefits, like money in a hospital, ask someone on the of... Its payment from the third party Resources, what are my responsibilities but must. Section P.O to collect its payment from the third party expected to return home assistance a... 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For each overpayment month are mandatory market value form is available at all local of. Community resource Center ( FCRC ) fax form 3660 to the office, but you must give us information! Is filed against the estate of a deceased client heir or beneficiary undue....
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