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. 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. Please turn on JavaScript and try again. Child Support Services. Children under age 19 may get medical coverage while you are waiting to find out if you qualify. This is often done by mail using a Redetermination or Renewal form. WebBOC - Bureau of Collections BoFS - Bureau of Fiscal Services BOI - Bureau of Investigations BOMB - Bureau of Management and Budget BOS - Bureau of Operations endstream If you receive AABD cash and medical H$M You must see doctors who are network providers for your third party resource. 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. 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. Box 19174Springfield, Illinois 62794-9174Attn: Personal Injury Unit. Chairez stated that the recipient ledger 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. A lien can be filed on any real property you own. A caseworker at your local DHS FCRC will ask you questions and enter your answers into a computer. 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. DHS can help with this. Hw,JMTpuV*w5Pp 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. 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. Hospitals should report requests immediately, preferably via fax. 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. It should answer many of your questions about the programs and how they can help you. If these screen prints are missing, the referral packet will be returned. 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. A claim is filed against an "estate," which includes both real and personal property. 3 0 obj You can also fill it out, sign it, and leave it at the FCRC. 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. Print; PDF; Physical. Call or visit your local DHS office. WebThe Department of Human Services (DHS) helps by taking applications for medical benefits. Happy Holidays from Secretary Grace Hou and IDHS! 7 0 obj 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. The state can cover medical care provided in an emergency for adults whose legal immigration status cannot be verified, or if they have been in the U.S. less than five years, only if they meet all other medical program rules. CLOSED NOW. 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. At this point, IDHS Bureau of Collections establishes the debt in CARS, issues the second and subsequent overpayment letters, and collects the payments. 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. Other government ID (city, county, or U.S. state issued). HFS offers many different healthcare programs for the people of Illinois. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. 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 He also reviewed DHSs Bureau of Collections (the BOC) recipient ledger inquiry from August 2, 2019. Payment may be made for covered medical bills if you qualify. Ensures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. Child support services are available to all families, regardless of income, and to either parent. Most people who want medical benefits, who are not U.S. citizens, must provide proof of immigration status. The Pre-Payment Detail Inquiry Screen and the Payment Inquiry (PF-11) screen prints for each overpayment month are mandatory. 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. 4 0 obj endobj Tell your medical providers that you have applied for HFS medical benefits. Grace B. Hou, Secretary, IDHS Help Line 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). When this happens, medical assistance has the right, by law, to collect its payment from the third party. endobj As long as you are eligible for the Medical Assistance Program, you will receive a medical card. endobj A caseworker at the office will answer the questions you have. Either way, the Court may order a halt to this collection, and, repayment. All payments are handled by IDHS Bureau of Collections. Persons using a TTY can call 1-866-565-8577. 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. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. We will contact the U.S. Bureau of Citizenship and Immigration Services to check their status. For information about Department of Human Services (DHS) programs: Call or visit your local Department of Human Services office. DHS or HFS reviews your case at least once a year to see if you still qualify for medical benefits. llinois Department of Healthcare and Family Services, Bureau of Collections - Technical Recovery Section, 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 office. WebIllinois State-Human Service Department. 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. WebState of Illinois Department of Human Services Bureau of Collections P.O. All your earned income and unearned income is reviewed when you apply for medical benefits. Web213 State Capitol Springfield, IL 62756 800-252-8980 (toll free in Illinois) 217-785-3000 (outside Illinois) Contact Forms 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. mZM@T#8$z#*Gjom&xc.ez When you receive the form, you must complete and return it to allow the state to determine if you are responsible for the bill. Most people have to have a medical home. 2P t.C4PH2P,H(+*P ,MtLBr4R34C\C 4 If you need help filling it out, your caseworker will help you. If the case does not meet the overpayment criteria, BCCD will deny the referral and notify the referring agency. Illinois Department of Healthcare and Family Services Bureau of Collections, Technical Recovery Section 401 S. Clinton - 5th Floor Chicago, Illinois For children under age 16, school or day care records or a report card. An overpayment shall be classified as an administrative error if the error was caused solely by actions taken by the department or its agent. All overpayment inquiries shall be directed to the. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 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. 9 0 obj 5 0 obj 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. A medical home is a doctor's office or clinic that knows you and knows about your healthcare needs. <>stream Hr 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. IDFPR announced applications for the next round of cannabis dispensary licenses will be accepted starting in January 2023. 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. The call is free. Please turn on JavaScript and try again. 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). endobj 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 Wishing you and your families a peaceful and prosperous holiday season. 1-800-843-6154 WebEnsures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. A lien is filed on "real property," which is land and anything erected on, growing on, or affixed to the land, such as buildings. The TPL code lets your doctor, hospital or clinic know that there is a third party that may be responsible to pay for all or part of your medical care. Which petition would be best depends on what - if any - litigation has been filed in court WebIDHS: Illinois Department of Human Services. JB Pritzker, Governor Theresa Eagleson, Director. 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 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. HFS was formerly the Illinois Department of Public Aid. Liens and claims are the two legal actions used to collect the amount received by AABD clients. 2 0 obj Proof is a copy of any one of the following: Alien Registration Receipt Card/Permanent Resident Card/Green Card (INS-3A); Passport with the following stamps or attachments: Arrival-Departure Record with the stamp showing status (I-94), or Resident Alien Form (I-151 or I-551), or Temporary Resident Card (I-688); Other proof of lawful immigration status. Box 19174Springfield, Illinois 62794-9174. 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. Springfield, IL United States. 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. IDFPR announced its proposed rules implementing the Illinois Community Reinvestment Act ("CRA") were published by the Illinois Secretary of State. WebPART 165 COLLECTIONS AND RECOVERIES The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been 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. Your children who qualify for medical benefits will continue to receive them whether or not you cooperate. *JAgN] R8 Coordinates gathering documents and case records for criminal or civil cases. 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. 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. A claim can be filed against the estate of a deceased client. You will receive a notice telling you the amount of your spenddown. Box 19502 Springfield, Illinois 62794-9502 If you cannot pay the full amount, you must make 09,5qVZsFII7a>B(doA!Zi.bdpgZ^4YuHz1. o;Zqy-a 0 {b' Earned income is wages from your job or profits from your business. This year, IDOI has already helped consumers find and collect more than $5 million from lost or unclaimed life insurance policies. Your children who are eligible for the Medical Assistance Program will continue to receive it whether or not you cooperate. 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. Other suggestions are listed on page 2 of the Overpayment Referral form. 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. Box 19174Springfield, Illinois 62794-9174. The call is free. 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. Send the original Overpayment Referral packet to: Keep a copy of the overpayment packet for the client file. DHS will accept your application as long as it has your name, address and signature. If you are age 65 or older, are blind or have a disability, your assets will also be reviewed. 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. Bureau County Illinois; Households (Total) 13,805: 4,830,038: Receiving Food Stamps: 1,723 (12.5%) 631,076 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. 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