8 0 obj Ensures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. DHS or HFS will send a letter to you if you can be repaid. You must also tell us if you have any other health insurance. Any other information, such as the name of the attorney or insurance company, their address, the claim or insurance policy number, etc. 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. Evaluates Family Community Resource Center productivity, quality, and timeliness, of all collections and investigations. @~b0E,el8[R$;inx8R+pSxwChE?7. You will receive a medical card in the mail that you can use for your medical expenses. By administrative rule 89 Ill. Admin. You can also apply online for some programs. 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 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. If you help others withhold information or make untrue statements about their family income or assets, you also may be guilty of fraud. Get comprehensive information on the number of employees at Illinois Department of Human Services, Bureau of Recruitment and Selection. The CCR&R/Site provider and Bureau of Collection will receive a copy of the letter. Grace B. Hou, Secretary, IDHS Help Line Other suggestions are listed on page 2 of the Overpayment Referral form. If the case does not meet the overpayment criteria, BCCD will deny the referral and notify the referring agency. It will help answer many of your questions about which bills medical assistance will pay and which bills other resources pay. Please turn on JavaScript and try again. Earned income is wages from your job or profits from your business. A third party may be another person, an insurance company, an organization or a program. If and when the property is sold, the lien will be paid. If you are found guilty of this crime, you may have to pay a fine, go to prison, or both. If you apply because you have a disability, you will be told within 60 days. r "9)1BR` w All payments are handled by IDHS Bureau of Collections. The call is free. Other real estate and buildings that you own (but do not live in) are considered non-homestead property. 9 0 obj Your card will have a Third Party Liability (TPL) code printed on it for each person who is covered by a third party resource. 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. You will receive a notice telling you the amount of your spenddown. If you need help filling it out, your caseworker will help you. HFS was formerly the Illinois Department of Public Aid. Sometimes medical assistance pays a medical bill that a third party resource should have paid. The Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. WebPART 165 COLLECTIONS AND RECOVERIES The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been The hospital should fax a copy of the request or the subpoena to the Department's Bureau of Collections, Technical Recovery Section. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream 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. 1-800-843-6154 endstream Medical cannabis dispensaries may dispense medical cannabis outside restricted and limited access areas through January 31, 2023. You will receive a notice telling you if you qualify to enroll in the Pay-in Spenddown option. WebCollection Agency Registration Collection Agency Branch Office Registration Personal/Employment History Collection Agency Financial Statement Collection WebIDOT consists of ten supporting offices. The form is available at all local Department of Human Services offices. Within the first five years that an overpayment is identified, the department recovers a 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. Hw,JMTpuV*w5Pp The cause of each overpayment shall be classified as administrative error, client error, or provider error. 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. If you do not share this information, you will not get medical benefits. IDHS Office Locator. Yes. 2P t.C4PH2P,H(+*P ,Mt -LBr4SRCJK4C\C $ Tomorrow: 8:00 am - 5:00 pm. Coordinates gathering documents and case records for criminal or civil cases. Most adults must also have been in the U.S. for at least five years. Sometimes these programs are called Medicaid, All Kids, FamilyCare, Moms & Babies or HFS Medical Benefits. You do not have to come to the office, but you must try to keep all your telephone appointments with your caseworker. Call or visit your local Department of Human Services office. 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. 5 0 obj For more information about your right to appeal and have a fair hearing, ask your caseworker or call the number listed above. Hr Illinois Department of Human ServicesBureau of Customer Inquiry & Assistance100 South Grand Ave., East, 2nd Fl.Springfield, IL 62762. The State of Illinois has the legal right to recover assistance received through the Aid to the Aged, Blind or Disabled (AABD) program. 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. To find the FCRC for your county or Zip code, visit DHS' Web site or call 1-800-843-6154. 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. Either way, the Court may order a halt to this collection, and, repayment. Box 19174Springfield, Illinois 62794-9174Attn: Personal Injury Unit. Liens and claims are the two legal actions used to collect the amount received by AABD clients. No action will be taken to sell your property. 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. Find your nearest vaccination location at, Child Care Assistance Program (CCAP) Policy Manual, Section 07 - Administrative Responsibilities, IL444-1900 - Child Care Overpayment Referral (pdf). Today: 8:00 am - 5:00 pm. 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. Your children who qualify for medical benefits will continue to receive them whether or not you cooperate. A caseworker at the local office will answer your questions. endobj If you do not get these benefits, then your age, blindness or disability will be reviewed when you apply. 3 0 obj 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 Please turn on JavaScript and try again. Supervisors should review and approve each overpayment referral. A medical home is a doctor's office or clinic that knows you and knows about your healthcare needs. endstream Most people who want medical benefits, who are not U.S. citizens, must provide proof of immigration status. Complete the Child Care Overpayment Referral (. The Division of Medical Programs administers and, in conjunction with the federal government, funds medical services provided to about 25 percent of the states population. Payment may be made for covered medical bills if you qualify. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream WebIllinois State-Human Service Department. Sometimes HFS pays a medical bill that someone else or other insurance should have paid for you. 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. 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. 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. R5%CwG 4E`\'$gF1IM4l3zqn]i 0'\8b Q2>oK-OKkZ&]+Ul;.c Q&mc[9 NowuLfj>-L~}b1g&vX(}FwN'` ` Receives and analyzes "Exception Reports" from BOC. The following organization chart represents basic structure and the departments senior management. At the hearing, you may represent yourself or be represented by a lawyer, relative or friend. (FCRC) If an FCRC finds that the overpayment amount has changed, send Change of Overpayment Information (Form 2404C) to the Bureau of Collections, Canceled for receipt of earned income and receipt of past unreported earnings is known or suspected and the employer has been contacted by the Family Community Resource Center, but the employer does not initially cooperate. The call is free. Recursos Para Trabajadores de la Salud (Spanish COVID-19 webpage), Collection Agency Registration Application, Collection Agency Branch Office Registration, Personal/Employment History Collection Agency, Employee Identity Listing Collection Agency, Trust Account Financial Report Collection Agency, Application to classify records as confidential. When this happens, medical assistance has the right, by law, to collect its payment from the third party. H$M J.B. Pritzker in May, streamlining the process for obtaining services for children who need them and strengthening the cross-collaboration between the states child welfare, early care and learning agencies. 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. 2 0 obj endobj JB Pritzker, Governor Theresa Eagleson, Director. Providers who wish to have monthly payment reductions from future payments shall coordinate this option 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 CCR&R/Site provider and Bureau of Collection will receive a copy of the new letter. If you withhold information or do not tell us the truth about your family income or assets, you may be guilty of fraud. Press Release 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. 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. (217) 557-1601 Visit Website Map & Directions 100 S Grand Ave ESpringfield, IL 62762 Write a Review. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream The Division of Child Support Services provides services to custodial and noncustodial parents by establishing paternity as well as establishing, enforcing and modifying child-support obligations to strengthen families emotionally and financially. 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. 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. WebDepartment of Human Services, 2021 IL App (2d) 200364 . 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 Send the original Overpayment Referral packet to: Keep a copy of the overpayment packet for the client file. CLOSED NOW. For additional information about a waiver of estate recovery write to: llinois Department of Healthcare and Family ServicesBureau of Collections - Technical Recovery SectionP.O. If you received AABD medical assistance only, a claim will be filed for the amount of medical assistance paid after your 55th birthday. For more information, call the All Kids Hotline at 1-866-ALL-KIDS (1-866-255-5437). Office of Inspector General is maintained within the agency, but functions as a separate, independent entity reporting directly to the governor's office. Hr 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. Or you may call 1-800-435-0774 (TTY: 1-877-734-7429). A person who has resided in a medical institution for at least 120 calendar days is not reasonably expected to return home. If you receive Medicare, SSI or Social Security Disability, you do not need to provide proof of your U.S. citizenship or identity. 7 0 obj A pregnant woman is encouraged, but not required, to provide proof of immigration status. 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. Where the overpayment period is over 15 months old and the information is not available in the case record. 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. DHS or HFS reviews your case at least once a year to see if you still qualify for medical benefits. To apply for medical benefits in person, go to your local DHS Family Community Resource Center (FCRC). 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. Canceled because of client noncooperation and verifications are needed to prove past known or suspected overpayments and the verifications have been requested by the Family Community Resource Center. Box 19174 Springfield, Illinois 62794-9174 For information about This is often done by mail using a Redetermination or Renewal form. 09,5qVZsFII7a>B(doA!Zi.bdpgZ^4YuHz1. o;Zqy-a 0 {b' The Department of Human Services (DHS) helps by taking applications for 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. This is your application. The call is free. endobj If you are homeless, tell your caseworker how to reach you. It looks like your browser does not have JavaScript enabled. If you want to appeal the decision, you can write a letter requesting a hearing or fill out a Notice of Appeal form. Adults do not qualify if they refuse to cooperate with CSE unless they have a good reason for not cooperating. *JAgN] R8 Tell your caseworker if you have a good reason. 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. This is called Pay-in Spenddown. 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. 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. 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 looks like your browser does not have JavaScript enabled. The success of collections depends in part on the age of the overpayment. Box 19174Springfield, Illinois 62794-9174. They will send you a form. 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. Our vision is that all Pennsylvanians live safe, healthy, and independent lives, free of discrimination and inequity. 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. Grace B. Hou, Secretary, IDHS Help Line A lien can be filed on any real property you own. A claim may not be filed against your estate if recovery would cause an heir or beneficiary undue hardship. You must tell DHS about medical benefits you receive or should receive. HFS offers many different healthcare programs for the people of Illinois. An overpayment shall be classified as an administrative error if the error was caused solely by actions taken by the department or its agent. 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 Customers DHS can help you and your family meet your basic needs. endobj 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. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream If you are a patient in a hospital, ask someone on the hospital staff to help you apply. 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 working group developed several of the proposed policies codified in the law, signed by Gov. You will be notified of the results of the review. Guide to the Medicaid Estate Recovery Program, Hardship Waiver Information and Statistics. Save copies of any medical bills you paid after your time limit. 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. JB Pritzker, Governor Theresa Eagleson, Director. You must let your caseworker know when you move so your medical card and other important information can be sent to your new address. Two state agencies work together to help Illinoisans get HFS Medical Program benefits. The Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. Please show us the original version of your documents. Hospitals should report requests immediately, preferably via fax. The call is free. This year, IDOI has already helped consumers find and collect more than $5 million from lost or unclaimed life insurance policies. 6 0 obj Illinois Department of Human Services-Bureau of Blind Services. endstream Phone (800) 843-6154 . WebIDHS: Illinois Department of Human Services. Your caseworker will tell you how to apply for these benefits. IDHS Help Line 1-800-843-6154 1-866-324-5553 TTY 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. Happy Holidays from Secretary Grace Hou and IDHS! 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. Springfield, IL United States. 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 call is free. @{RUjE}kz!rvn}Br|yQds?Wg7B  r'5lo@4c"hFA Box 19174Springfield, Illinois 62794-9174. Persons using a teletypewriter (TTY) can call 1-800-447-6404. 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. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream If you have any questions or need more information, call the DHS Helpline at 1 As soon as an overpayment is identified, staff shall prepare an Overpayment Referral Packet. Persons using a TTY can call 1-800-447-6404. WebIDHS: Illinois Department of Human Services. Medical Programs and When you receive the form, you must complete and return it to allow the state to determine if you are responsible for the bill. Grace B. Hou, Secretary, IDHS Help Line Be sure to give your complete name and address. 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. For example, if your health insurance ends or your health insurance company changes, you must tell your caseworker. Box 19174Springfield, Illinois 62794-9174. The call is free. 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. Which petition would be best depends on what - if any - litigation has been filed in court All overpayment inquiries shall be directed to the. Copies of the letter will be sent to: IDHS Bureau of Collections. endstream Alcoholism Information & Treatment Centers. 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. WebState of Illinois Department of Human Services Bureau of Collections P.O. The Inspector General is appointed by and reports to the Governor and is confirmed by the Senate. If you have medical expenses during any of the three months before the month you apply, be sure to tell your caseworker about them. Card in the illinois department of human services bureau of collections for at least once a year to see you. Dhs or HFS will send a letter requesting a hearing or fill out a telling. 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