Fraud is a serious crime. R5%CwG 4E`\'$gF1IM4l3zqn]i 0'\8b Q2>oK-OKkZ&]+Ul;.c Q&mc[9 NowuLfj>-L~}b1g&vX(}FwN'` ` HFS pays for most medical care you get while you qualify. 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 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. 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 hospital should fax a copy of the request or the subpoena to the Department's Bureau of Collections, Technical Recovery Section. You may choose your current medical provider if they are enrolled with HFS. You will receive a notice telling you if you qualify to enroll in the Pay-in Spenddown option. The provider bills for licensed care but does not possess a DCFS license. If you are homeless, tell your caseworker how to reach you. endobj 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. endstream Please turn on JavaScript and try again. 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. 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. If these screen prints are missing, the referral packet will be returned. The Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. You do not have to come to the office, but you must try to keep all your telephone appointments with your caseworker. The Pre-Payment Detail Inquiry Screen and the Payment Inquiry (PF-11) screen prints for each overpayment month are mandatory. For Lien and Estate cases in Cook County, please send email inquiries and referrals to: For Lien and Estates cases in all other jurisdictions, please send email inquiries and referrals to: For Personal Injury and Casualty cases in Cook County, please send email inquiries and referrals to: For Personal Injury and Casualty cases in all other jurisdictions, please send email inquiries and referrals to: For Workers' Compensation cases in Cook County, please send email inquiries and referrals to: For Workers' Compensation cases in all other jurisdictions, please send email inquiries and referrals to: For additional information about a waiver of estate recovery email us at the links above or write to: Illinois Department of Healthcare and Family Services Bureau of Collections - Technical Recovery SectionP.O. Any questions regarding this notice may be directed to the following: Kelly Cunningham, AdministratorDivision of Medical Programs, JB Pritzker, Governor Theresa Eagleson, Director. Persons using a TTY can call 1-800-447-6404. If you are a patient in a hospital, ask someone on the hospital staff to help you apply. See our Spenddown Program booklet for more information about spenddown. WebEnsures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. If and when the property is sold, the lien will be paid. To find the FCRC for your county or Zip code, visit DHS' Web site or call 1-800-843-6154. 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. 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. 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. Supervisors should review and approve each overpayment referral. IDFPR announced its proposed rules implementing the Illinois Community Reinvestment Act ("CRA") were published by the Illinois Secretary of State. 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 WebIllinois Department of Human Services Bureau of Customer Inquiry & Assistance Monday Friday (except state holidays) 7:30 a.m. - 7 p.m. Receives and analyzes "Exception Reports" from BOC. 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). <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream If you received AABD medical assistance only, a claim will be filed for the amount of medical assistance paid after your 55th birthday. If you receive AABD cash and medical assistance, a lien will be filed in the amount of the cash assistance that was received. endobj 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. 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. HFS Medical Programs are for some people who need help getting and paying for medical care. To apply for medical benefits in person, go to your local DHS Family Community Resource Center (FCRC). The lien will be released if you are discharged from the medical institution to return to your home. You can file an appeal by writing to the Bureau of Administrative Hearings, 401 South Clinton Street, Chicago, IL 60607. Your caseworker will tell you how to apply for these benefits. DHS will send you a letter to let you know if they need more information. 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. Other money you get, like money from Social Security or a pension, is unearned income. Box 19502 Springfield, Illinois 62794-9502 If you cannot pay the full amount, you must make Evaluates Family Community Resource Center productivity, quality, and timeliness, of all collections and investigations. If you receive AABD cash and medical endstream 7 0 obj WebIDHS: Illinois Department of Human Services. 2P t.C4PH2P,H(+*P ,Mt -LBr4SRCJK4C\C $ We will contact the U.S. Bureau of Citizenship and Immigration Services to check their status. All overpayment inquiries shall be directed to the. 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. Tell them about the problem you are having with the medical bill. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. If you are found guilty of this crime, you may have to pay a fine, go to prison, or both. If you must choose a medical home, Illinois Health Connect or the Illinois Services Enrollment Broker will contact you. Provide a summary of the program violation(s). Save copies of any medical bills you paid after your time limit. Copies of the letter will be sent to: IDHS Bureau of Collections. If you receive Medicare, SSI or Social Security Disability, you do not need to provide proof of your U.S. citizenship or identity. 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. If you are age 65 or older, are blind or have a disability, your assets will also be reviewed. Box 19174Springfield, Illinois 62794-9174Attn: Personal Injury Unit. 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. 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. A medical home is a doctor's office or clinic that knows you and knows about your healthcare needs. DHS can help with this. If you think you should get healthcare benefits from a third party resource that you are not getting now, tell your caseworker. If information does not apply, enter N/A. For children under age 16, school or day care records or a report card. (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. 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. (FCRC) If an FCRC finds that the overpayment amount has changed, send Change of Overpayment Information (Form 2404C) to the Bureau of Collections, %PDF-1.6 % You may also write to DHS at the address below. Upload the original to the client's electronic case file in IES. endstream Hr As soon as an overpayment is identified, staff shall prepare an Overpayment Referral Packet. 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. For more information on liens and claims, get the brochure called Property Liens and Estate Claims from your local DHS Family Community Resource Center, or you may download or print the brochure. Persons using a teletypewriter (TTY) can call 1-800-447-6404. 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 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. 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. 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. Any change you report may affect your eligibility for medical benefits. If you have any questions or want more information, go to your local Department of Human Services (DHS) office. WebThe Bureau County Department of Human Services Family Community Resource Center Food Stamp Office, located in Princeton, IL, administers the federal Supplemental Nutrition Assistance Program (SNAP) for Princeton residents. It looks like your browser does not have JavaScript enabled. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream The amount of the lien/claim will be equal to the amount of AABD assistance you received. A lien can be filed on any real property you own. 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. Assets are the things you own, like money in a bank account or life insurance. Be the first to review! \R*kS"JU.WKXk2t,=%iEZ3EYongfYvu9R> `KEM/(+$9|qeT_hON9Wj2R+N6;f Persons using a TTY can call 1-866-565-8577. 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. 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. All payments are handled by IDHS Bureau of Collections. If the case meets the criteria for overpayment, BCCD will issue the Overpayment letter. Canceled for receipt of UI benefits and receipt of past unreported UI benefits is known or suspected and verifications have been requested by the Family Community Resource Center. An overpayment shall be classified as an administrative error if the error was caused solely by actions taken by the department or its agent. Tomorrow: 8:00 am - 5:00 pm. 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.