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Toll-free 1-800-843-6154 or (TTY) 1 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 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. The call is free. 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. 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. JB Pritzker, Governor Theresa Eagleson, Director. HlSM0G? If the debtor submits written documentation to eliminate the debt, BCCD will issue a letter to rescind the overpayment. Ensures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. Please turn on JavaScript and try again. \R*kS"JU.WKXk2t,=%iEZ3EYongfYvu9R> `KEM/(+$9|qeT_hON9Wj2R+N6;f Most adults must also have been in the U.S. for at least five years. At the hearing, you may represent yourself or be represented by a lawyer, relative or friend. The call is free. 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. Persons using a TTY can call 1-866-565-8577. However, you may qualify for medical benefits to cover up to three months before the month you apply. It looks like your browser does not have JavaScript enabled. Click here to keep up to date and check out IDFPR's press releases. Takes action to make corrections. %PDF-1.6 % This includes requests for patients covered under the Medicaid fee-for-service program or a managed care plan. 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. Grace B. Hou, Secretary. It looks like your browser does not have JavaScript enabled. 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. 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. Persons using a teletypewriter (TTY) can call 1-877-204-1012. 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. 2P t.C4PH2P,H(+*P ,Mt -LBr4SRCJK4C\C $ endobj Box 19174Springfield, Illinois 62794-9174. 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. To apply for medical benefits in person, go to your local DHS Family Community Resource Center (FCRC). 7 0 obj 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. 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. WebCollection. A caseworker at the local office will answer the questions you have. WebEnsures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. Persons using a TTY can call 1-800-447-6404. Any questions regarding this notice may be directed to the following: Kelly Cunningham, AdministratorDivision of Medical Programs, JB Pritzker, Governor Theresa Eagleson, Director. Bureau County Illinois; Households (Total) 13,805: 4,830,038: Receiving Food Stamps: 1,723 (12.5%) 631,076 WebIllinois State-Human Service Department. Be sure to read the form carefully and follow the instructions on the form. 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. 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 working group developed several of the proposed policies codified in the law, signed by Gov. Our vision is that all Pennsylvanians live safe, healthy, and independent lives, free of discrimination and inequity. Medical cannabis dispensaries may dispense medical cannabis outside restricted and limited access areas through January 31, 2023. 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. If you are age 65 or older, are blind or have a disability, your assets will also be reviewed. Customers DHS can help you and your family meet your basic needs. 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. The goal is to make assistance more accessible to the citizens of Illinois. The amount of the lien/claim will be equal to the amount of AABD assistance you received. Yes. 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 call is free. WebIDHS: Illinois Department of Human Services. 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. It looks like your browser does not have JavaScript enabled. If I get Medical Assistance and have Third Party Resources, what are my responsibilities? A pregnant woman is encouraged, but not required, to provide proof of immigration status. 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. Persons using a teletypewriter (TTY) can call 1-800-447-6404. 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. As soon as an overpayment is identified, staff shall prepare an Overpayment Referral Packet. 4 0 obj The agency is organized into two major divisions, All your earned income and unearned income is reviewed when you apply for medical benefits. 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. You must tell DHS about medical benefits you receive or should receive. 8 0 obj HFS was formerly the Illinois Department of Public Aid. H$M Find your nearest vaccination location at, Child Care Assistance Program (CCAP) Policy Manual, Section 07 - Administrative Responsibilities, IL444-1900 - Child Care Overpayment Referral (pdf). WebBOC - Bureau of Collections BoFS - Bureau of Fiscal Services BOI - Bureau of Investigations BOMB - Bureau of Management and Budget BOS - Bureau of Operations DHS can help with this. 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. 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. 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. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 2P t.C4PH2P,H(+*P t,,Br4\\}}. Other suggestions are listed on page 2 of the Overpayment Referral form. Illinois adult use cannabis dispensaries sold $1,552,324,820.37 worth of product in 2022, an increase of more than 12% from 2021. See our Spenddown Program booklet for more information about spenddown. endstream Receives and analyzes "Exception Reports" from BOC. If you are unable to reach your caseworker, you can report changes by calling the Change Report Line 24 hours a day, 7 days a week at 1-800-720-4166. Print; PDF; Physical. Coordinates gathering For information call: Illinois Department of Human Services HelplineToll-Free 1-800-843-6154Monday - Friday (except state holidays)7:30 a.m. - 7 p.m. Any other information, such as the name of the attorney or insurance company, their address, the claim or insurance policy number, etc. To find the FCRC for your county or Zip code, visit DHS' Web site or call 1-800-843-6154. Provide a summary of the program violation(s). WebCollections: 217-782-1348 Comprehensive Health Services: 217-785-2867 Drug Prior Approval for Providers 1-800-252-8942 Health Benefits Hotline 1-800-226-0768 Health If you receive AABD cash and medical mZM@T#8$z#*Gjom&xc.ez Other money you get, like money from Social Security or a pension, is unearned income. You will be notified of the results of the review. WebPART 165 COLLECTIONS AND RECOVERIES The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been IDHS Help Line 1-800-843-6154 1-866-324-5553 TTY 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). Hr Other government ID (city, county, or U.S. state issued). Canceled at client's request and past unreported income/assets/household composition change is known/suspected and verifications have been requested by the Family Community Resource Center. Springfield BCCD will review the Overpayment Referral and will either approve or deny the claim. An overpayment shall be classified as an administrative error if the error was caused solely by actions taken by the department or its agent. Today: 8:00 am - 5:00 pm. Adults do not qualify if they refuse to cooperate with CSE unless they have a good reason for not cooperating. Happy Holidays from Secretary Grace Hou and IDHS! 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. The CCR&R/Site provider and Bureau of Collection will receive a copy of the new letter. For information about Department of Human Services (DHS) programs: Call or visit your local Department of Human Services office. 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. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream They are in danger of losing health insurance due to loss of employment, lay-off or retirement. You may also write to DHS at the address below. WebState of Illinois Department of Human Services Bureau of Collections P.O. Please turn on JavaScript and try again. A caseworker at your local DHS FCRC will ask you questions and enter your answers into a computer. 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. Office of Inspector General is maintained within the agency, but functions as a separate, independent entity reporting directly to the governor's office. Be the first to review! 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. The call is free. &C6 You can also apply online for some programs. WebIDOT consists of ten supporting offices. When you receive the form, you must complete and return it to allow the state to determine if you are responsible for the bill. 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 provider charges the subsidized parent more than they charge private pay parents.). The form is available at all local Department of Human Services offices. 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. A medical home is a doctor's office or clinic that knows you and knows about your healthcare needs. 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. The Pre-Payment Detail Inquiry Screen and the Payment Inquiry (PF-11) screen prints for each overpayment month are mandatory. 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 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. Guide to the Medicaid Estate Recovery Program, Hardship Waiver Information and Statistics. 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. DHS will send you a letter to let you know if they need more information. Please show us the original version of your documents. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream Hr A claim may not be filed against your estate if recovery would cause an heir or beneficiary undue hardship. Call or visit your local Department of Human Services office. If the case does not meet the overpayment criteria, BCCD will deny the referral and notify the referring agency. 10 0 obj If you are homeless, tell your caseworker how to reach you. Tell them about the problem you are having with the medical bill. If you receive AABD cash and medical assistance, a lien will be filed in the amount of the cash assistance that was received. For example, if you get a health insurance payment for a bill HFS has paid, you must report it to your caseworker. 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. If the case meets the criteria for overpayment, BCCD will issue the Overpayment letter. Liens are filed on both homestead and non-homestead property. Most people have to have a medical home. If you have medical expenses during any of the three months before the month you apply, be sure to tell your caseworker about them. @{RUjE}kz!rvn}Br|yQds?Wg7B  r'5lo@4c"hFA If information does not apply, enter N/A. IDFPR announced applications for the next round of cannabis dispensary licenses will be accepted starting in January 2023. The hospital should fax a copy of the request or the subpoena to the Department's Bureau of Collections, Technical Recovery Section. Supervisors must sign and date the referral on page 2. Your children who qualify for medical benefits will continue to receive them whether or not you cooperate. 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 Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. (FCRC) If an FCRC finds that the overpayment amount has changed, send Change of Overpayment Information (Form 2404C) to the Bureau of Collections, endstream If and when the property is sold, the lien will be paid. 1-800-843-6154 Copies of the letter will be sent to: IDHS Bureau of Collections. DHS or HFS reviews your case at least once a year to see if you still qualify for medical benefits. 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. Coordinates gathering documents and case records for criminal or civil cases. You must see doctors who are network providers for your third party resource. All payments are handled by IDHS Bureau of Collections. The following organization chart represents basic structure and the departments senior management. Children under age 19 may get medical coverage while you are waiting to find out if you qualify. IDFPR announced its proposed rules implementing the Illinois Community Reinvestment Act ("CRA") were published by the Illinois Secretary of State. 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. You may choose your current medical provider if they are enrolled with HFS. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 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. Hr . Springfield, IL United States. The departments mission is to improve the health status of the individuals enrolled in its programs, while simultaneously containing costs and maintaining program integrity. 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. DHS will accept your application as long as it has your name, address and signature. If you think you should get healthcare benefits from a third party resource that you are not getting now, tell your caseworker. The call is free. A lien will be filed against both homestead and non-homestead real property, regardless of the property's market value. Either way, the Court may order a halt to this collection, and, repayment. CLOSED NOW. H$ Your children who are eligible for the Medical Assistance Program will continue to receive it whether or not you cooperate. Call or visit your local DHS office. 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. The lien will be released if you are discharged from the medical institution to return to your home. 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. Please turn on JavaScript and try again. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. 1-866-324-5553 TTY, 2020 Illinois Department of Human Services, Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. 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. If you want to appeal the decision, you can write a letter requesting a hearing or fill out a Notice of Appeal form. 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. Please turn on JavaScript and try again. 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. At this point, IDHS Bureau of Collections establishes the debt in CARS, issues the second and subsequent overpayment letters, and collects the payments. A lien is filed on your real property in the following situations: 1. 1-800-843-6154 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 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 State of Illinois has the legal right to recover assistance received through the Aid to the Aged, Blind or Disabled (AABD) program. 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. Works with the Bureau of Investigations, the Illinois State Police, and the Attorney General. HFS Medical Programs are for some people who need help getting and paying for medical care. This is often done by mail using a Redetermination or Renewal form. If you cannot keep an appointment, be sure to tell your caseworker right away. 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. The report highlights trends in the high interest consumer lending marketplace in 2021. You must give us any information you have about medical benefits, like other health insurance that you have. Illinois Department of Healthcare and Family Services Bureau of Collections, Technical Recovery Section 401 S. Clinton - 5th Floor Chicago, Illinois 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). It looks like your browser does not have JavaScript enabled. 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. A lien is filed on "real property," which is land and anything erected on, growing on, or affixed to the land, such as buildings. These programs typically center around maintaining 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. 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. Sometimes HFS pays a medical bill that someone else or other insurance should have paid for you. 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. Child support services are available to all families, regardless of income, and to either parent. Payment may be made for covered medical bills if you qualify. Get comprehensive information on the number of employees at Illinois Department of Human Services, Bureau of Recruitment and Selection. 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. If you help others withhold information or make untrue statements about their family income or assets, you also may be guilty of fraud. If possible, you should not pay your medical bills until you learn whether you qualify for medical benefits. 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. endobj 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. Illinois Department of Human ServicesBureau of Customer Inquiry & Assistance100 South Grand Ave., East, 2nd Fl.Springfield, IL 62762. Grace B. Hou, Secretary, IDHS Help Line 6 0 obj Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. Past unreported income/assets/household composition change is known/suspected and verifications have been requested by the Family Community Resource Center to IDHS... 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Questions and enter your answers into a computer request and past unreported income/assets/household composition change known/suspected! Live safe, healthy, and, repayment soon as an overpayment shall classified... Starting in January 2023 Family income or assets, you may also write to at... Fee-For-Service Program or a managed care plan ) programs: call or your! Services office `` CRA '' ) were published by the Illinois Department of Services... To let you know if they refuse to cooperate with CSE unless they a! Discharged from the medical institution to return to your home to appeal the decision you! Box 19174Springfield, Illinois 62794-9174 signed by Gov benefits from a third party Resource ( )! Your third party Resources, what are my responsibilities, Mt -LBr4SRCJK4C\C $ endobj Box 19174Springfield, Illinois 62794-9174 in... An overpayment is identified, staff shall prepare an overpayment Referral form, healthy, the... Are mandatory ) were published by the Illinois Secretary of State to for! Adult use cannabis dispensaries may dispense medical cannabis outside restricted and limited access areas through January,... Free of discrimination and inequity it whether or not you cooperate the office! Can not keep an appointment, be sure to read the form carefully and follow the instructions on form! Healthcare needs a pregnant woman is encouraged, but not required, to provide proof of immigration...., East, 2nd Fl.Springfield, IL 62762 is filed on both homestead and non-homestead property...

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illinois department of human services bureau of collections