Supervisors should review and approve each overpayment referral. Transfers the payment to another applicable claim and corrects the accounts receivable file, if no refund is due. 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. Fraud is a serious crime. The Department of Human Services (DHS) helps by taking applications for medical benefits. Press Release 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. If information does not apply, enter N/A. Other government ID (city, county, or U.S. state issued). H$M If you help others withhold information or make untrue statements about their family income or assets, you also may be guilty of fraud. Receives and analyzes "Exception Reports" from BOC. Tomorrow: 8:00 am - 5:00 pm. Coordinates gathering documents and case records for criminal or civil cases. If you need help to find a provider, call Illinois Health Connect at 1-877-912-1999. 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. , Prescott Bloom Building201 South Grand Avenue, EastSpringfield, Illinois 62763, JB Pritzker, Governor Theresa Eagleson, Director. Supervisors must sign and date the referral on page 2. Most people have to have a medical home. Sometimes medical assistance pays a medical bill that a third party resource should have paid. No action will be taken to enforce the lien when you die, 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. %PDF-1.6 % WebThe Illinois Department of Human Services (IDHS) is one of Illinois' largest agencies, with more than 13,000 employees. *JAgN] R8 It looks like your browser does not have JavaScript enabled. 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. 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. The Pre-Payment Detail Inquiry Screen and the Payment Inquiry (PF-11) screen prints for each overpayment month are mandatory. To apply for medical benefits in person, go to your local DHS Family Community Resource Center (FCRC). Hr For more information, call the All Kids Hotline at 1-866-ALL-KIDS (1-866-255-5437). (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. 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. This year, IDOI has already helped consumers find and collect more than $5 million from lost or unclaimed life insurance policies. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream JB Pritzker, Governor Theresa Eagleson, Director. You may choose your current medical provider if they are enrolled with HFS. Please turn on JavaScript and try again. 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. WebIllinois Department of Human Services, Bureau of Recruitment and Selection List of Employees There's an exhaustive list of past and present employees! Hr 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. 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. endobj However, you may qualify for medical benefits to cover up to three months before the month you apply. To: Enrolled Hospitals: Chief Executive Officers: Chief Financial Officers: and Patient Accounts Managers, Re: Third Party Requests for Medicaid Patient Bills and Medical Records, _____________________________________________________________________________. 5 0 obj A claim is filed against an "estate," which includes both real and personal property. A medical home is a doctor's office or clinic that knows you and knows about your healthcare needs. If I get Medical Assistance and have Third Party Resources, what are my responsibilities? 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. 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. Springfield, IL United States. The agency is organized into two major divisions, DHS or HFS will send a letter to you if you can be repaid. endstream 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. For example, if you get a health insurance payment for a bill HFS has paid, you must report it to your caseworker. For more information about your right to appeal and have a fair hearing, ask your caseworker or call the number listed above. This includes requests for patients covered under the Medicaid fee-for-service program or a managed care plan. See our Spenddown Program booklet for more information about spenddown. Sometimes these programs are called Medicaid, All Kids, FamilyCare, Moms & Babies or HFS Medical Benefits. 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. Grace B. Hou, Secretary, IDHS Help Line Children under age 19 may get medical coverage while you are waiting to find out if you qualify. A person who has resided in a medical institution for at least 120 calendar days is not reasonably expected to return home. Happy Holidays from Secretary Grace Hou and IDHS! Ensures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. . It looks like your browser does not have JavaScript enabled. If possible, you should not pay your medical bills until you learn whether you qualify for medical benefits. 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 call is free. All overpayment inquiries shall be directed to the. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. 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. WebIllinois State-Human Service Department. 1-800-843-6154 Upload the original to the client's electronic case file in IES. You will be notified of the results of the review. As long as you are eligible for the Medical Assistance Program, you will receive a medical card. The call is free. At the hearing, you may represent yourself or be represented by a lawyer, relative or friend. 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. Illinois adult use cannabis dispensaries sold $1,552,324,820.37 worth of product in 2022, an increase of more than 12% from 2021. Evaluates Family Community Resource Center productivity, quality, and timeliness, of all collections and investigations. H$ Please turn on JavaScript and try again. 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. Please show us the original version of your documents. Alcoholism Information & Treatment Centers. If your application is approved, your medical benefits usually begin with the month you apply. When this happens, medical assistance has the right, by law, to collect its payment from the third party. Call or visit your local DHS office. As soon as an overpayment is identified, staff shall prepare an Overpayment Referral Packet. Today: 8:00 am - 5:00 pm. To find out if medical assistance paid a medical bill for which you received a payment from another source, ask your medical care provider. If the case does not meet the overpayment criteria, BCCD will deny the referral and notify the referring agency. If you want to appeal the decision, you can write a letter requesting a hearing or fill out a Notice of Appeal form. These programs typically center around maintaining Box 19174 Springfield, Illinois 62794-9174 For information about If you must choose a medical home, Illinois Health Connect or the Illinois Services Enrollment Broker will contact you. Wishing you and your families a peaceful and prosperous holiday season. He also reviewed DHSs Bureau of Collections (the BOC) recipient ledger inquiry from August 2, 2019. 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. The success of collections depends in part on the age of the overpayment. 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. If you do not give DHS this information, you may not be eligible for the Medical Assistance Program. Modified date: December 23, 2019. 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. endstream You will receive a notice telling you the amount of your spenddown. Illinois Department of Human ServicesBureau of Customer Inquiry & Assistance100 South Grand Ave., East, 2nd Fl.Springfield, IL 62762. You may have the option of paying your spenddown amount directly to HFS. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 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. @{RUjE}kz!rvn}Br|yQds?Wg7B  r'5lo@4c"hFA 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. You can apply in person, by mail or by fax. JB Pritzker, Governor Theresa Eagleson, Director. Web213 State Capitol Springfield, IL 62756 800-252-8980 (toll free in Illinois) 217-785-3000 (outside Illinois) Contact Forms You can also fill it out, sign it, and leave it at the FCRC. 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. If these screen prints are missing, the referral packet will be returned. Where the overpayment period is over 15 months old and the information is not available in the case record. Provide a summary of the program violation(s). This booklet explains the Healthcare and Family Services (HFS) Medical programs. 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. An overpayment shall be classified as an administrative error if the error was caused solely by actions taken by the department or its agent. The Inspector General is appointed by and reports to the Governor and is confirmed by the Senate. (FCRC) If an FCRC finds that the overpayment amount has changed, send Change of Overpayment Information (Form 2404C) to the Bureau of Collections, Liens are not filed on mobile homes. This amount is called your spenddown amount. 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. The goal is to make assistance more accessible to the citizens of Illinois. 1-800-843-6154 A lien is filed on your real property in the following situations: 1. A caseworker at the office will answer the questions you have. JB Pritzker, Governor Theresa Eagleson, Director. 1-866-324-5553 TTY, 2020 Illinois Department of Human Services, Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. 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. 10 0 obj An estate claim is filed for clients who were receiving assistance at the time of death and clients who were cancelled prior to death. 2P t.C4PH2P,H(+*P t,,Br4\\}}. DHS can help with this. HlSM0G? Tell them about the problem you are having with the medical bill. Which petition would be best depends on what - if any - litigation has been filed in court Other suggestions are listed on page 2 of the Overpayment Referral form. Two state agencies work together to help Illinoisans get HFS Medical Program benefits. If you are found guilty of this crime, you may have to pay a fine, go to prison, or both. We offer a range of services to help you become healthy and self Please turn on JavaScript and try again. endstream The amount of the lien/claim will be equal to the amount of AABD assistance you received. 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.