09,5qVZsFII7a>B(doA!Zi.bdpgZ^4YuHz1. o;Zqy-a 0 {b' Depending on your income and situation you may also have to cooperate with Child Support Enforcement (CSE) activities. endobj Liens and claims are the two legal actions used to collect the amount received by AABD clients. Alcoholism Information & Treatment Centers. 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. 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. For more information about your right to appeal and have a fair hearing, ask your caseworker or call the number listed above. Other real estate and buildings that you own (but do not live in) are considered non-homestead property. 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. 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. We offer a range of services to help you become healthy and self You must let your caseworker know when you move so your medical card and other important information can be sent to your new address. The departments mission is to improve the health status of the individuals enrolled in its programs, while simultaneously containing costs and maintaining program integrity. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream The working group developed several of the proposed policies codified in the law, signed by Gov. If the debtor submits written documentation to eliminate the debt, BCCD will issue a letter to rescind the overpayment. Sometimes these programs are called Medicaid, All Kids, FamilyCare, Moms & Babies or HFS Medical Benefits. Grace B. Hou, Secretary, IDHS Help Line 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. Call or visit your local DHS office. 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. 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. As soon as an overpayment is identified, staff shall prepare an Overpayment Referral Packet. A lien will be filed against both homestead and non-homestead real property, regardless of the property's market value. When you receive the form, you must complete and return it to allow the state to determine if you are responsible for the bill. You may have the option of paying your spenddown amount directly to HFS. You should also tell the provider billing you that you are covered by HFS medical benefits. 2P t.C4PH2P,H(+*P t,,Br5\4u LM5\+SRRK3SS~1f!^\!\ !4 See our Spenddown Program booklet for more information about spenddown. Or you may call 1-800-435-0774 (TTY: 1-877-734-7429). If you receive medical assistance and you get money from a third party resource for a medical service that medical assistance already paid money for, you must repay the state of Illinois. If you want to appeal the decision, you can write a letter requesting a hearing or fill out a Notice of Appeal form. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 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. This amount is called your spenddown amount. 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. 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. Children under age 19 may get medical coverage while you are waiting to find out if you qualify. If possible, you should not pay your medical bills until you learn whether you qualify for medical benefits. The call is free. No action will be taken to sell your property. JB Pritzker, Governor Theresa Eagleson, Director. Supervisors must sign and date the referral on page 2. A caseworker at the office will answer the questions you have. Any other information, such as the name of the attorney or insurance company, their address, the claim or insurance policy number, etc. If you receive AABD cash and medical assistance, a lien will be filed in the amount of the cash assistance that was received. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. Phone (800) 843-6154 . Most people who want medical benefits, who are not U.S. citizens, must provide proof of immigration status. Save copies of any medical bills you paid after your time limit. 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. 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 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. HFS was formerly the Illinois Department of Public Aid. 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. 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. Your caseworker will tell you how to apply for these benefits. This year, IDOI has already helped consumers find and collect more than $5 million from lost or unclaimed life insurance policies. Persons using a teletypewriter (TTY) can call 1-800-447-6404. 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. Child Support Services. Illinois adult use cannabis dispensaries sold $1,552,324,820.37 worth of product in 2022, an increase of more than 12% from 2021. Ensures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. He also reviewed DHSs Bureau of Collections (the BOC) recipient ledger inquiry from August 2, 2019. A lien can be filed on any real property you own. Works with the Bureau of Investigations, the Illinois State Police, and the Attorney General. Alternate Phone (866) 324-5553 (TTY) Organization Website Address. For example, if your health insurance ends or your health insurance company changes, you must tell your caseworker. Hr <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream If you have any questions or need more information, call the DHS Helpline at 1 Are a U.S. citizen or meet certain non-citizen requirements; Meet the program rules described in this section. 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. 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. endstream The form is available at all local Department of Human Services offices. A pregnant woman is encouraged, but not required, to provide proof of immigration status. 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. 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. 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