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. WebPART 165 COLLECTIONS AND RECOVERIES The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been HFS 591 Healthcare and Family Services Medical Programs, 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, 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. The agency is organized into two major divisions, 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 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. 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. Be sure to give your complete name and address. 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. Please turn on JavaScript and try again. If you are found guilty of this crime, you may have to pay a fine, go to prison, or both. HFS was formerly the Illinois Department of Public Aid. Adults do not qualify if they refuse to cooperate with CSE unless they have a good reason for not cooperating. 2P t.C4PH2P,H(+*P ,Mt -LBr4SRCJK4C\C $ 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. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream If your caseworker cannot find you, your medical benefits will stop. 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. 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. endobj Your children who qualify for medical benefits will continue to receive them whether or not you cooperate. (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. When this happens, medical assistance has the right, by law, to collect its payment from the third party. WebDepartment of Human Services, 2021 IL App (2d) 200364 . 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. If the debtor submits written documentation to reduce the debt, BCCD will issue a new letter indicating the new balance. endstream A caseworker at the local office will answer your questions. 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. Liens and claims are the two legal actions used to collect the amount received by AABD clients. Receives and analyzes "Exception Reports" from BOC. If you have medical expenses during any of the three months before the month you apply, be sure to tell your caseworker about them. endstream Any questions regarding this notice may be directed to the following: Kelly Cunningham, AdministratorDivision of Medical Programs, JB Pritzker, Governor Theresa Eagleson, Director. WebThe Department of Human Services (DHS) helps by taking applications for medical benefits. 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. 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. If you need help to find a provider, call Illinois Health Connect at 1-877-912-1999. Tell your caseworker if you have a good reason. 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. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream endstream If you do not share this information, you will not get medical benefits. 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. A lien is filed on "real property," which is land and anything erected on, growing on, or affixed to the land, such as buildings. WebBOC - Bureau of Collections BoFS - Bureau of Fiscal Services BOI - Bureau of Investigations BOMB - Bureau of Management and Budget BOS - Bureau of Operations It looks like your browser does not have JavaScript enabled. 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. 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. 8 0 obj 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. If you receive Medicare, SSI or Social Security Disability, you do not need to provide proof of your U.S. citizenship or identity. The call is free. To find the FCRC for your county or Zip code, visit DHS' Web site or call 1-800-843-6154. Also, call this telephone number if you know someone who is withholding information or not telling the truth about the medical services they need or if you know someone who is charging the HFS Medical Programs for medical care that he or she did not give. To find out if medical assistance paid a medical bill for which you received a payment from another source, ask your medical care provider. 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. The CCR&R/Site provider and Bureau of Collection will receive a copy of the new letter. Transfers the payment to another applicable claim and corrects the accounts receivable file, if no refund is due. 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. Box 19174 Springfield, Illinois 62794-9174 For information about 2P t.C4PH2P,H(+*P t,,Br5\4u LM5\+SRRK3SS~1f!^\!\ !4 <>stream Get comprehensive information on the number of employees at Illinois Department of Human Services, Bureau of Recruitment and Selection. Persons using a TTY can call 1-800-447-6404. endstream Wishing you and your families a peaceful and prosperous holiday season. 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. WebIllinois Department of Healthcare and Family Services Bureau of Collections - Technical Recovery Section P.O. 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. The Inspector General is appointed by and reports to the Governor and is confirmed by the Senate. DHS will accept your application as long as it has your name, address and signature. All payments are handled by IDHS Bureau of Collections. Phone (800) 843-6154 . We will contact the U.S. Bureau of Citizenship and Immigration Services to check their status. The hospital should fax a copy of the request or the subpoena to the Department's Bureau of Collections, Technical Recovery Section. The call is free. Be sure to read the form carefully and follow the instructions on the form. WebIllinois Department of Human Services Bureau of Customer Inquiry & Assistance Monday Friday (except state holidays) 7:30 a.m. - 7 p.m. Liens are filed on both homestead and non-homestead property. HFS offers many different healthcare programs for the people of Illinois. 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. 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. IDHS Help Line 1-800-843-6154 1-866-324-5553 TTY Child support services are available to all families, regardless of income, and to either parent. Other adults who want medical benefits must provide proof of their immigration status. Works with the Bureau of Investigations, the Illinois State Police, and the Attorney General. For more information about your right to appeal and have a fair hearing, ask your caseworker or call the number listed above. This is your application. HFS pays for most medical care you get while you qualify. Most people have to have a medical home. You may also write to DHS at the address below. 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. WebThe Illinois Department of Human Services (IDHS) is one of Illinois' largest agencies, with more than 13,000 employees. The cause of each overpayment shall be classified as administrative error, client error, or provider error. 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. If these screen prints are missing, the referral packet will be returned. WebIllinois State-Human Service Department. If you are a patient in a hospital, ask someone on the hospital staff to help you apply. A caseworker at your local DHS FCRC will ask you questions and enter your answers into a computer. Illinois Department of Human ServicesBureau of Customer Inquiry & Assistance100 South Grand Ave., East, 2nd Fl.Springfield, IL 62762. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream Customers DHS can help you and your family meet your basic needs. Please turn on JavaScript and try again. endobj You will be notified of the results of the review. Home and special nursing care (only for children under 21), Rehabilitation assistance (physical therapy). 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. The form is available at all local Department of Human Services offices. Upload the original to the client's electronic case file in IES. 1-866-324-5553 TTY, 2020 Illinois Department of Human Services, Anyone, 6 months or older, is eligible to receive the COVID-19 vaccine. You may have the option of paying your spenddown amount directly to HFS. IDHS Office Locator. 4 0 obj The Bureau of Collections makes all repayment arrangements, including negotiating all installment repayment plans for canceled SNAP cases. The Department of Human Services (DHS) helps by taking applications for medical benefits. 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. 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. You will receive a notice telling you the amount of your spenddown. The Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream Call or visit your local Department of Human Services office. Save copies of any medical bills you paid after your time limit. This amount is called your spenddown amount. 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 must give us any information you have about medical benefits, like other health insurance that you have. All your earned income and unearned income is reviewed when you apply for medical benefits. It looks like your browser does not have JavaScript enabled. Most people who want medical benefits, who are not U.S. citizens, must provide proof of immigration status. 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. (217) 557-1601 Visit Website Map & Directions 100 S Grand Ave ESpringfield, IL 62762 Write a Review. At the hearing, you may represent yourself or be represented by a lawyer, relative or friend. H$M Persons using a teletypewriter (TTY) can call 1-800-447-6404. A caseworker at the office will answer the questions you have. 1-800-843-6154 You will receive a medical card in the mail that you can use for your medical expenses. Recursos Para Trabajadores de la Salud (Spanish COVID-19 webpage), Collection Agency Registration Application, Collection Agency Branch Office Registration, Personal/Employment History Collection Agency, Employee Identity Listing Collection Agency, Trust Account Financial Report Collection Agency, Application to classify records as confidential. Please turn on JavaScript and try again. 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. Sometimes HFS pays a medical bill that someone else or other insurance should have paid for you. 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. endstream Grace B. Hou, Secretary, IDHS Help Line A pregnant woman is encouraged, but not required, to provide proof of immigration status. WebEnsures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. Persons using a teletypewriter (TTY) can call 1-800-447-6404. Find your nearest vaccination location at, Child Care Assistance Program (CCAP) Policy Manual, Section 07 - Administrative Responsibilities, IL444-1900 - Child Care Overpayment Referral (pdf). 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. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. the provider charges the subsidized parent more than they charge private pay parents.). Your children who are eligible for the Medical Assistance Program will continue to receive it whether or not you cooperate. WebCollection Agency Registration Collection Agency Branch Office Registration Personal/Employment History Collection Agency Financial Statement Collection 10 0 obj JB Pritzker, Governor Theresa Eagleson, Director. This year, IDOI has already helped consumers find and collect more than $5 million from lost or unclaimed life insurance policies. Hr Or you may call 1-800-435-0774 (TTY: 1-877-734-7429). DHS will send you a letter to let you know if they need more information. 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 withhold information or do not tell us the truth about your family income or assets, you may be guilty of fraud. If you receive medical assistance and you get money from a third party resource for a medical service that medical assistance already paid money for, you must repay the state of Illinois. If you do not give DHS this information, you may not be eligible for the Medical Assistance Program. 1-800-843-6154 You must see doctors who are network providers for your third party resource. DHS can help with this. Press Release DHS or HFS will send a letter to you if you can be repaid. The call is free. The working group developed several of the proposed policies codified in the law, signed by Gov. The Pre-Payment Detail Inquiry Screen and the Payment Inquiry (PF-11) screen prints for each overpayment month are mandatory. A caseworker at the local office will answer the questions you have. Fax number for Cook residents: 312-338-0304, Fax number for all other counties: 217-524-5672, Telephone number for Cook County residents: 312-793-3528 and 312-793-3529, Telephone number for all other counties: 217-785-8711. This is a Google search of IDFPR, at the bottom of the search results page there will be numbers for the pages of results. To: Enrolled Hospitals: Chief Executive Officers: Chief Financial Officers: and Patient Accounts Managers, Re: Third Party Requests for Medicaid Patient Bills and Medical Records, _____________________________________________________________________________. Yes. Hr Illinois Department of Human Services-Bureau of Blind Services. endobj Office of Inspector General is maintained within the agency, but functions as a separate, independent entity reporting directly to the governor's office. Hospitals should report requests immediately, preferably via fax. 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. Assets are the things you own, like money in a bank account or life insurance. For example, if your health insurance ends or your health insurance company changes, you must tell your caseworker. 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. A claim may not be filed against your estate if recovery would cause an heir or beneficiary undue hardship. The call is free. 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. For example, if you get a health insurance payment for a bill HFS has paid, you must report it to your caseworker. Copies of the letter will be sent to: IDHS Bureau of Collections. Sometimes these programs are called Medicaid, All Kids, FamilyCare, Moms & Babies or HFS Medical Benefits. If you received AABD medical assistance only, a claim will be filed for the amount of medical assistance paid after your 55th birthday. 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