It should answer many of your questions about the programs and how they can help you. Send the original Overpayment Referral packet to: Keep a copy of the overpayment packet for the client file. 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 Healthcare and Family Services (HFS) is responsible for providing healthcare coverage for adults and children who qualify for Medicaid, and for DHS or HFS reviews your case at least once a year to see if you still qualify for medical benefits. 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. Modified date: December 23, 2019. \R*kS"JU.WKXk2t,=%iEZ3EYongfYvu9R> `KEM/(+$9|qeT_hON9Wj2R+N6;f endobj If and when the property is sold, the lien will be paid. 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. A caseworker at the local office will answer your questions. 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. 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 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. Alcoholism Information & Treatment Centers. 1-800-843-6154 IDHS Help Line 1-800-843-6154 1-866-324-5553 TTY The Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. 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. Grace B. Hou, Secretary, IDHS Help Line If the debtor submits written documentation to reduce the debt, BCCD will issue a new letter indicating the new balance. Most people have to have a medical home. Illinois Department of Healthcare and Family Services Bureau of Collections, Technical Recovery Section 401 S. Clinton - 5th Floor Chicago, Illinois Child support services are available to all families, regardless of income, and to either parent. 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. CLOSED NOW. 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. This booklet explains the Healthcare and Family Services (HFS) Medical programs. Transfers the payment to another applicable claim and corrects the accounts receivable file, if no refund is due. A claim can be filed against the estate of a deceased client. Toll-free 1-800-843-6154 or (TTY) 1 If you received AABD medical assistance only, a claim will be filed for the amount of medical assistance paid after your 55th birthday. Alternate Phone (866) 324-5553 (TTY) Organization Website Address. 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. Wishing you and your families a peaceful and prosperous holiday season. 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. Complete the Child Care Overpayment Referral (. 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. If you have a good reason for not giving us this information, tell your caseworker. 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. To: Enrolled Hospitals: Chief Executive Officers: Chief Financial Officers: and Patient Accounts Managers, Re: Third Party Requests for Medicaid Patient Bills and Medical Records, _____________________________________________________________________________. HFS or DHS will let you know if you qualify within 45 days of the date you apply. You can also fill it out, sign it, and leave it at the FCRC. They are in danger of losing health insurance due to loss of employment, lay-off or retirement. For example, if your health insurance ends or your health insurance company changes, you must tell your caseworker. Your children who are eligible for the Medical Assistance Program will continue to receive it whether or not you cooperate. WebPART 165 COLLECTIONS AND RECOVERIES The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been The CCR&R/Site provider and Bureau of Collection will receive a copy of the letter. endstream 7 0 obj It looks like your browser does not have JavaScript enabled. 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. 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. WebIllinois State-Human Service Department. 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. This is your application. Web213 State Capitol Springfield, IL 62756 800-252-8980 (toll free in Illinois) 217-785-3000 (outside Illinois) Contact Forms In fiscal year 2015, more than $1.4 billion was collected in support owed to Illinois children. 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. 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. 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. A caseworker at the office will answer the questions you have. As long as you are eligible for the Medical Assistance Program, you will receive a medical card. If your caseworker cannot find you, your medical benefits will stop. Please turn on JavaScript and try again. If you want to appeal the decision, you can write a letter requesting a hearing or fill out a Notice of Appeal form. 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. 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. Save copies of any medical bills you paid after your time limit. Box 19174Springfield, Illinois 62794-9174. All your earned income and unearned income is reviewed when you apply for medical benefits. 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. By administrative rule 89 Ill. Admin. endobj Call or visit your local Department of Human Services office. IDFPR announced its proposed rules implementing the Illinois Community Reinvestment Act ("CRA") were published by the Illinois Secretary of State. All payments are handled by IDHS Bureau of Collections. As soon as an overpayment is identified, staff shall prepare an Overpayment Referral Packet. Press Release 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. No action will be taken to sell your property. If I get Medical Assistance and have Third Party Resources, what are my responsibilities? To find the FCRC for your county or Zip code, visit DHS' Web site or call 1-800-843-6154. Provide a summary of the program violation(s). You may also write to DHS at the address below. Please show us the original version of your documents. If you have medical expenses during any of the three months before the month you apply, be sure to tell your caseworker about them. 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. It looks like your browser does not have JavaScript enabled. Either way, the Court may order a halt to this collection, and, repayment. Other adults who want medical benefits must provide proof of their immigration status. Works with the Bureau of Investigations, the Illinois State Police, and the Attorney General. Illinois Department of Human Services-Bureau of Blind Services. We will contact the U.S. Bureau of Citizenship and Immigration Services to check their status. The office will answer the questions you have Call or visit your local Department of Services... 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illinois department of human services bureau of collections