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. 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. 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 The report highlights trends in the high interest consumer lending marketplace in 2021. 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. 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. Illinois Department of Human Services-Bureau of Blind Services. 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. Today: 8:00 am - 5:00 pm. It looks like your browser does not have JavaScript enabled. endstream Liens are not filed on mobile homes. If I get Medical Assistance and have Third Party Resources, what are my responsibilities? , Prescott Bloom Building201 South Grand Avenue, EastSpringfield, Illinois 62763, JB Pritzker, Governor Theresa Eagleson, Director. All payments are handled by IDHS Bureau of Collections. 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. 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. Other real estate and buildings that you own (but do not live in) are considered non-homestead property. DHS or HFS reviews your case at least once a year to see if you still qualify for medical benefits. endobj Grace B. Hou, Secretary. Yes. @~b0E,el8[R$;inx8R+pSxwChE?7. 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. 8 0 obj &C6 Which petition would be best depends on what - if any - litigation has been filed in court Provide a summary of the program violation(s). 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. You will receive a notice telling you if you qualify to enroll in the Pay-in Spenddown option. Print; PDF; Physical. Illinois Department of Human ServicesBureau of Customer Inquiry & Assistance100 South Grand Ave., East, 2nd Fl.Springfield, IL 62762. As soon as an overpayment is identified, staff shall prepare an Overpayment Referral Packet. A claim can be filed against the estate of a deceased client. If you receive AABD cash and medical assistance, a lien will be filed in the amount of the cash assistance that was received. Please turn on JavaScript and try again. endstream 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. The CCR&R/Site provider and Bureau of Collection will receive a copy of the letter. Grace B. Hou, Secretary, IDHS Help Line Two state agencies work together to help Illinoisans get HFS Medical Program benefits. If information does not apply, enter N/A. Sometimes HFS pays a medical bill that someone else or other insurance should have paid for you. This is often done by mail using a Redetermination or Renewal form. The goal is to make assistance more accessible to the citizens of Illinois. 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. 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. 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. Home and special nursing care (only for children under 21), Rehabilitation assistance (physical therapy). 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. 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. The Bureau of Collections makes all repayment arrangements, including negotiating all installment repayment plans for canceled SNAP cases. The CCR&R/Site provider and Bureau of Collection will receive a copy of the new letter. WebCollection Agency Registration Collection Agency Branch Office Registration Personal/Employment History Collection Agency Financial Statement Collection WebIllinois Department of Healthcare and Family Services Bureau of Collections - Technical Recovery Section P.O. 5 0 obj The Inspector General is appointed by and reports to the Governor and is confirmed by the Senate. 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. JB Pritzker, Governor Theresa Eagleson, Director. The amount of the lien/claim will be equal to the amount of AABD assistance you received. Other suggestions are listed on page 2 of the Overpayment Referral form. Most adults must also have been in the U.S. for at least five years. The call is free. If the debtor submits written documentation to reduce the debt, BCCD will issue a new letter indicating the new balance. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream A claim can be filed against your estate. The call is free. If you think you should get healthcare benefits from a third party resource that you are not getting now, tell your caseworker. They will send you a form. Depending on your income and situation you may also have to cooperate with Child Support Enforcement (CSE) activities. Persons using a TTY can call 1-866-565-8577. 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. You must tell DHS about medical benefits you receive or should receive. 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 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. Within the first five years that an overpayment is identified, the department recovers a He also reviewed DHSs Bureau of Collections (the BOC) recipient ledger inquiry from August 2, 2019. 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. Tell your caseworker if you have a good reason. DHS or HFS will send a letter to you if you can be repaid. If you are homeless, tell your caseworker how to reach you. 1-800-843-6154 Persons using a teletypewriter (TTY) can call 1-800-447-6404. \R*kS"JU.WKXk2t,=%iEZ3EYongfYvu9R> `KEM/(+$9|qeT_hON9Wj2R+N6;f By administrative rule 89 Ill. Admin. 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 form is available at all local Department of Human Services offices. 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. You do not have to come to the office, but you must try to keep all your telephone appointments with your caseworker. Liens are filed on both homestead and non-homestead property. When this happens, medical assistance has the right, by law, to collect its payment from the third party. 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 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. Medical cannabis dispensaries may dispense medical cannabis outside restricted and limited access areas through January 31, 2023. 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 WebCollection. Other adults who want medical benefits must provide proof of their immigration status. 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. If you need help filling it out, your caseworker will help you. endstream It looks like your browser does not have JavaScript enabled. You will receive a notice telling you the amount of your spenddown. If you withhold information or do not tell us the truth about your family income or assets, you may be guilty of fraud. 2P t.C4PH2P,H(+*P t,,Br4\\}}. A caseworker at your local DHS FCRC will ask you questions and enter your answers into a computer. WebChicago, Illinois 60604 312-596-7230 FOR THE REMAINDER OF ILLINOIS United States Department of Labor Wage and Hour Division 3161 W. White Oaks, Dr., Suite 203 Springfield, IL 62704 217-793-5028 Occupational Safety & Health Act (#OSHA 3165) poster is available by contacting the agency at: OSHA Publications 230 South Dearborn, Room The call is free. Supervisors should review and approve each overpayment referral. Fraud is a serious crime. (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. Or you may call 1-800-435-0774 (TTY: 1-877-734-7429). endobj This booklet explains the Healthcare and Family Services (HFS) Medical programs. Please show us the original version of your documents. HFS pays for most medical care you get while you qualify. Grace B. Hou, Secretary, IDHS Help Line If you need help to find a provider, call Illinois Health Connect at 1-877-912-1999. 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. Hr 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. Be sure to give your complete name and address. endobj 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. Alternate Phone (866) 324-5553 (TTY) Organization Website Address. If you received AABD medical assistance only, a claim will be filed for the amount of medical assistance paid after your 55th birthday. Email to DHS.LINK @ illinois.gov ( HFS ) medical programs iEZ3EYongfYvu9R > ` KEM/ ( *... In the amount of the lien/claim will be filed in the amount of the form }.. 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