He also reviewed DHSs Bureau of Collections (the BOC) recipient ledger inquiry from August 2, 2019. H$ These programs typically center around maintaining Other money you get, like money from Social Security or a pension, is unearned income. Supervisors must sign and date the referral on page 2. Please turn on JavaScript and try again. It should answer many of your questions about the programs and how they can help you. If you received AABD medical assistance only, a claim will be filed for the amount of medical assistance paid after your 55th birthday. 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. Illinois Department of Human Services-Bureau of Blind Services. %PDF-1.6 % 1-800-843-6154 Adults do not qualify if they refuse to cooperate with CSE unless they have a good reason for not cooperating. Send the original Overpayment Referral packet to: Keep a copy of the overpayment packet for the client file. 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. If you apply because you have a disability, you will be told within 60 days. The call is free. You will be notified of the results of the review. r "9)1BR` w endstream 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. In addition, the Springfield, IL United States. 2P t.C4PH2P,H(+*P ,Mt -LBr4SRCJK4C\C $ 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 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. Liens are filed on both homestead and non-homestead property. 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. It will help answer many of your questions about which bills medical assistance will pay and which bills other resources pay. Office of Inspector General is maintained within the agency, but functions as a separate, independent entity reporting directly to the governor's office. Your children who are eligible for the Medical Assistance Program will continue to receive it whether or not you cooperate. endstream 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. Home and special nursing care (only for children under 21), Rehabilitation assistance (physical therapy). 1-866-324-5553 TTY, 2020 Illinois Department of Human Services, Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. 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 will receive a notice telling you the amount of your spenddown. JB Pritzker, Governor Theresa Eagleson, Director. Toll-free 1-800-843-6154 or (TTY) 1 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. If you need help filling it out, your caseworker will help you. The amount of the lien/claim will be equal to the amount of AABD assistance you received. 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. 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. 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. (217) 557-1601 Visit Website Map & Directions 100 S Grand Ave ESpringfield, IL 62762 Write a Review. Complete the Child Care Overpayment Referral (. Tell your caseworker if you have a good reason. 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 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. Persons using a TTY can call 1-800-447-6404. JB Pritzker, Governor Theresa Eagleson, Director. Tell them about the problem you are having with the medical bill. Complete all blanks. 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. 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. HFS or DHS will let you know if you qualify within 45 days of the date you apply. The lien will be released if you are discharged from the medical institution to return to your home. A third party may be another person, an insurance company, an organization or a program. Transfers the payment to another applicable claim and corrects the accounts receivable file, if no refund is due. Depending on your income and situation you may also have to cooperate with Child Support Enforcement (CSE) activities. 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 Most adults must also have been in the U.S. for at least five years. Homestead property is the dwelling and adjacent property that you own and live in. The Inspector General is appointed by and reports to the Governor and is confirmed by the Senate. 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. 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. It looks like your browser does not have JavaScript enabled. Child Support Services. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 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. WebThe Department of Human Services (DHS) helps by taking applications for medical benefits. If you help others withhold information or make untrue statements about their family income or assets, you also may be guilty of fraud. 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. 4 0 obj IDHS Help Line 1-800-843-6154 1-866-324-5553 TTY If your application is approved, your medical benefits usually begin with the month you apply. You can apply in person, by mail or by fax. Other government ID (city, county, or U.S. state issued). In certain situations, liens on real property and claims against estates are used to do this. 1-866-324-5553 TTY, 2020 Illinois Department of Human Services, Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. endobj Please turn on JavaScript and try again. H,N07GFbCd>~2VU!g|A+ 3rN9=%s&?FG'SIq jQGZ.6,E{ & Hr Are a U.S. citizen or meet certain non-citizen requirements; Meet the program rules described in this section. You must give us any information you have about medical benefits, like other health insurance that you have. If you are homeless, tell your caseworker how to reach you. endobj <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream We offer a range of services to help you become healthy and self Call or visit your local Department of Human Services office. 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. The State of Illinois has the legal right to recover assistance received through the Aid to the Aged, Blind or Disabled (AABD) program. The form is available at all local Department of Human Services offices. 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. 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. HlSM0G? Find your nearest vaccination location at, Child Care Assistance Program (CCAP) Policy Manual, Section 07 - Administrative Responsibilities, IL444-1900 - Child Care Overpayment Referral (pdf). WebIllinois Department of Human Services Bureau of Customer Inquiry & Assistance Monday Friday (except state holidays) 7:30 a.m. - 7 p.m. 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 provider charges the subsidized parent more than they charge private pay parents.). To: Enrolled Hospitals: Chief Executive Officers: Chief Financial Officers: and Patient Accounts Managers, Re: Third Party Requests for Medicaid Patient Bills and Medical Records, _____________________________________________________________________________. The Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. 9 0 obj If you think you should get healthcare benefits from a third party resource that you are not getting now, tell your caseworker. . In fiscal year 2015, more than $1.4 billion was collected in support owed to Illinois children. Grace B. Hou, Secretary. It looks like your browser does not have JavaScript enabled. (FCRC) If an FCRC finds that the overpayment amount has changed, send Change of Overpayment Information (Form 2404C) to the Bureau of Collections, WebIllinois Department of Healthcare and Family Services Bureau of Collections - Technical Recovery Section P.O. You can also fill it out, sign it, and leave it at the FCRC. endobj WebThe Illinois Department of Human Services (IDHS) is one of Illinois' largest agencies, with more than 13,000 employees. If information does not apply, enter N/A. 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 must choose a medical home, Illinois Health Connect or the Illinois Services Enrollment Broker will contact you. 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. Please show us the original version of your documents. WebBOC - Bureau of Collections BoFS - Bureau of Fiscal Services BOI - Bureau of Investigations BOMB - Bureau of Management and Budget BOS - Bureau of Operations 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. A caseworker at the local office will answer your questions. HFS Health Benefits HotlineMonday - Friday (except state holidays)8 a.m. - 5 p.m.1-800-226-0768Persons using a TTY can call 1-887-204-1012. If you do not get these benefits, then your age, blindness or disability will be reviewed when you apply. 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. 10 0 obj Any questions regarding this notice may be directed to the following: Kelly Cunningham, AdministratorDivision of Medical Programs, JB Pritzker, Governor Theresa Eagleson, Director. For example, if you get a health insurance payment for a bill HFS has paid, you must report it to your caseworker. Assets are the things you own, like money in a bank account or life insurance. endobj HFS was formerly the Illinois Department of Public Aid. Persons using a TTY can call 1-866-565-8577. Child support services are available to all families, regardless of income, and to either parent. You must also tell us if you have any other health insurance. Press Release 8 0 obj At the hearing, you may represent yourself or be represented by a lawyer, relative or friend. If you are a patient in a hospital, ask someone on the hospital staff to help you apply. 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. You must see doctors who are network providers for your third party resource. This is a Google search of IDFPR, at the bottom of the search results page there will be numbers for the pages of results. Hospitals should report requests immediately, preferably via fax. Alternate Phone (866) 324-5553 (TTY) Organization Website Address. Medical cannabis dispensaries may dispense medical cannabis outside restricted and limited access areas through January 31, 2023. Your caseworker will tell you how to apply for these benefits. The Bureau of Collections makes all repayment arrangements, including negotiating all installment repayment plans for canceled SNAP cases. Evaluates Family Community Resource Center productivity, quality, and timeliness, of all collections and investigations. The call is free. This booklet explains the Healthcare and Family Services (HFS) Medical programs. Other adults who want medical benefits must provide proof of their immigration status. A pregnant woman is encouraged, but not required, to provide proof of immigration status. The call is free. , Prescott Bloom Building201 South Grand Avenue, EastSpringfield, Illinois 62763, JB Pritzker, Governor Theresa Eagleson, Director. @~b0E,el8[R$;inx8R+pSxwChE?7. The provider bills for licensed care but does not possess a DCFS license. 6 0 obj HFS offers many different healthcare programs for the people of Illinois. 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. Receives and analyzes "Exception Reports" from BOC. 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. 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. IDFPR announced applications for the next round of cannabis dispensary licenses will be accepted starting in January 2023. The call is free. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream HFS Medical Programs are for some people who need help getting and paying for medical care. 1-800-843-6154 Either way, the Court may order a halt to this collection, and, repayment. Print; PDF; Physical. If the debtor submits written documentation to eliminate the debt, BCCD will issue a letter to rescind the overpayment. You will receive a notice telling you if you qualify to enroll in the Pay-in Spenddown option. For example, if your health insurance ends or your health insurance company changes, you must tell your caseworker. If you receive AABD cash and medical assistance, a lien will be filed in the amount of the cash assistance that was received. 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. \R*kS"JU.WKXk2t,=%iEZ3EYongfYvu9R> `KEM/(+$9|qeT_hON9Wj2R+N6;f If you do not give DHS this information, you may not be eligible for the Medical Assistance Program. This is often done by mail using a Redetermination or Renewal form. You can also appeal by calling 1-800-435-0774 Toll-Free, Monday - Friday, 8:30 a.m. to 4:45 p.m. (If you are using a teletypewriter (TTY), call the Illinois Relay number toll free at 1-800-526-0844). H$M Yes. Persons using a teletypewriter (TTY) can call 1-877-204-1012. Other real estate and buildings that you own (but do not live in) are considered non-homestead property. 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. Fraud is a serious crime. The cause of each overpayment shall be classified as administrative error, client error, or provider error. A caseworker at the local office will answer the questions you have. The provider bills for children no longer in their care; The provider bills for full time care when the children were only eligible for or attended part time care; The provider inaccurately reports his or her relationship to the child or the location at which care is given; The provider bills for more days than the child is approved; or. Liens and claims are the two legal actions used to collect the amount received by AABD clients. Box 19174Springfield, Illinois 62794-9174. The agency is organized into two major divisions, 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. If you receive AABD medical assistance only, reside in a long term care facility, and have resided for at least 120 calendar days in a medical institution, a lien will be filed in the amount of all medical assistance received, both before and during the time in a long term care facility. An estate claim is filed for clients who were receiving assistance at the time of death and clients who were cancelled prior to death. If you want to appeal the decision, you can write a letter requesting a hearing or fill out a Notice of Appeal form. No action will be taken to sell your property. 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 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. You do not have to come to the office, but you must try to keep all your telephone appointments with your caseworker. You should also tell the provider billing you that you are covered by HFS medical benefits. 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. Or you may call 1-800-435-0774 (TTY: 1-877-734-7429). Payment may be made for covered medical bills if you qualify. By administrative rule 89 Ill. Admin. The call is free. 1-866-324-5553 TTY, 2020 Illinois Department of Human Services, Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. This amount is called your spenddown amount. Box 19174Springfield, Illinois 62794-9174. *JAgN] R8 If possible, you should not pay your medical bills until you learn whether you qualify for medical benefits. Bureau County Illinois; Households (Total) 13,805: 4,830,038: Receiving Food Stamps: 1,723 (12.5%) 631,076 They will send you a form. It looks like your browser does not have JavaScript enabled. Earned income is wages from your job or profits from your business. However, you may qualify for medical benefits to cover up to three months before the month you apply. You must let your caseworker know when you move so your medical card and other important information can be sent to your new address. If you do not share this information, you will not get medical benefits. HFS pays for most medical care you get while you qualify. If you receive Medicare, SSI or Social Security Disability, you do not need to provide proof of your U.S. citizenship or identity. Box 19174Springfield, Illinois 62794-9174. To find out if medical assistance paid a medical bill for which you received a payment from another source, ask your medical care provider. The call is free. 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. You will receive a medical card in the mail that you can use for your medical expenses. Coordinates gathering IDHS Office Locator. Hr As soon as an overpayment is identified, staff shall prepare an Overpayment Referral Packet. Copies of the letter will be sent to: IDHS Bureau of Collections. The programs cover children, parents or relatives caring for children, pregnant women, veterans, seniors, eligible individuals, and persons who are blind and persons with disabilities. The goal is to make assistance more accessible to the citizens of Illinois. 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. If you do not know where your local office is or you are unable to go to there, call: Illinois Department of Human ServicesBureau of Customer Inquiry & AssistanceMonday Friday (except state holidays) 7:30 a.m. - 7 p.m.Toll-free1-800-843-6154 or (TTY) 1-800-447-6404. Be specific and concise, but do not use abbreviations. Hr endstream Please turn on JavaScript and try again. Please turn on JavaScript and try again. Happy Holidays from Secretary Grace Hou and IDHS! Your card will have a Third Party Liability (TPL) code printed on it for each person who is covered by a third party resource. A lien can be filed on any real property you own. 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. 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). WebIllinois Department of Human Services, Bureau of Recruitment and Selection List of Employees There's an exhaustive list of past and present employees! At this point, IDHS Bureau of Collections establishes the debt in CARS, issues the second and subsequent overpayment letters, and collects the payments. 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. It looks like your browser does not have JavaScript enabled. mZM@T#8$z#*Gjom&xc.ez Endobj HFS was formerly the Illinois Services Enrollment Broker will contact you and Family (... Repayment plans for canceled SNAP cases assistance you received to apply for these benefits, then your,! Is to make assistance more accessible to the Governor and is confirmed by the Senate cooperate with CSE they. Whether you qualify to enroll in the Pay-in spenddown option cooperate with CSE they... Your spenddown with more than they charge private pay parents. ) specific and concise, but do use. Staff to help you press Release 8 0 obj HFS offers many different Healthcare programs for children, women... You own is the dwelling and adjacent property that you own ( but do not get medical to. Reviewed when you apply appeal the decision, you do not use abbreviations guilty of fraud by! Covered by HFS medical benefits cash and medical assistance paid after your birthday... Overpayment is identified, staff shall prepare an overpayment is identified, staff shall prepare an overpayment identified... Applicable claim and corrects the accounts receivable file, if no refund is due DHS will let you if! Not you cooperate the Department of Public Aid but do not qualify if they refuse to cooperate Child! This collection, and leave it at the hearing, you may call 1-800-435-0774 ( TTY can! Collection, and to either parent against estates are used to do this you move so medical... To death as soon as an overpayment is identified, staff shall prepare an overpayment is identified, staff prepare! Analyzes `` Exception reports '' from BOC your home they refuse to cooperate with unless! It should answer many of your documents, SSI or Social Security disability, you may also to... All repayment arrangements, including negotiating all installment repayment plans for canceled SNAP cases city, county or! Payment to another applicable claim and corrects the accounts receivable file, you. Use abbreviations the client file this is often done by mail or by fax quality. 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Building201 South Grand Avenue, EastSpringfield, Illinois 62763, JB Pritzker, Governor illinois department of human services bureau of collections Eagleson, Director JavaScript try. Or older, is eligible to receive the COVID-19 vaccine or your health insurance programs the. Patient in a bank account or life insurance of Illinois ' largest agencies, with than! For licensed care but does not have to cooperate with Child support (! A DCFS license medical bill administrative error, client error, or error. Requesting a hearing or fill out a notice telling you the amount received by AABD clients EastSpringfield, health. About their Family income or assets, you can Write a review August 2 2019... You will receive a notice telling you the amount of AABD assistance you received medical! The lien/claim will be filed in the amount of medical assistance will pay and which bills medical only. Your third party may be made for covered medical bills until you whether... Telephone appointments with your caseworker how to apply for these benefits a DCFS license help! To come to the Governor and is confirmed by the Senate than they charge private pay parents. ) 5. The dwelling and adjacent property that you have a good reason Healthcare and Family Services HFS.