Supervisors must sign and date the referral on page 2. Or you may call 1-800-435-0774 (TTY: 1-877-734-7429). 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 agency is organized into two major divisions, Other adults who want medical benefits must provide proof of their immigration status. @~b0E,el8[R$;inx8R+pSxwChE?7. A claim can be filed against the estate of a deceased client. If you are homeless, tell your caseworker how to reach you. endobj <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream The Department of Healthcare and Family Services administers health insurance programs for children, pregnant women, and adults who are residents of Illinois. mZM@T#8$z#*Gjom&xc.ez 4 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. H,N07GFbCd>~2VU!g|A+ 3rN9=%s&?FG'SIq jQGZ.6,E{ & 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. The call is free. If you are found guilty of this crime, you may have to pay a fine, go to prison, or both. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream If information does not apply, enter N/A. 3 0 obj Be sure to give your complete name and address. As long as you are eligible for the Medical Assistance Program, you will receive a medical card. Box 19174Springfield, Illinois 62794-9174. 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. Complete the Child Care Overpayment Referral (. 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. Web213 State Capitol Springfield, IL 62756 800-252-8980 (toll free in Illinois) 217-785-3000 (outside Illinois) Contact Forms Home and special nursing care (only for children under 21), Rehabilitation assistance (physical therapy). 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). 7 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. You may also write to DHS at the address below. 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. Find your nearest vaccination location at, Workers' Action Guide Chapter Table of Contents, WAG 23: Financial Adjustments and Recovery, WAG 23-05-00: Repayment of Overpayments (Cash,SNAP), WAG 23-05-02-b: Repayment - Canceled Cases, Demand Letter IntentionalSNAP Program Violation (Form 2551), Repayment Agreement IntentionalSNAP Program Violation (Form 2551A), Demand Letter Inadvertent Household Error (Form 2555), Repayment Agreement Inadvertent Household Error (Form 2555B), Demand Letter Administrative Error (Form 2556), Repayment Agreement Administrative Error (Form 2556A), if recoupment occurred on a voided Illinois Link issuance and. IDHS Office Locator. Child support services are available to all families, regardless of income, and to either parent. Call or visit your local Department of Human Services office. 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. Toll-free 1-800-843-6154 or (TTY) 1 WebIllinois Department of Human Services, Bureau of Recruitment and Selection List of Employees There's an exhaustive list of past and present employees! For more information, call the All Kids Hotline at 1-866-ALL-KIDS (1-866-255-5437). 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. WebIllinois State-Human Service Department. Call or visit your local DHS office. endstream You may have the option of paying your spenddown amount directly to HFS. 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 (DHS) office. Please turn on JavaScript and try again. 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. The Department of Human Services (DHS) helps by taking applications for medical benefits. By administrative rule 89 Ill. Admin. Box 19174Springfield, Illinois 62794-9174. As soon as an overpayment is identified, staff shall prepare an Overpayment Referral Packet. endobj 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. DHS or HFS will send a letter to you if you can be repaid. 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. For example, if you get a health insurance payment for a bill HFS has paid, you must report it to 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. The State of Illinois has the legal right to recover assistance received through the Aid to the Aged, Blind or Disabled (AABD) program. If you do not share this information, you will not get medical benefits. If you must choose a medical home, Illinois Health Connect or the Illinois Services Enrollment Broker will contact you. HlSM0G? 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). This year, IDOI has already helped consumers find and collect more than $5 million from lost or unclaimed life insurance policies. 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. 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. They are in danger of losing health insurance due to loss of employment, lay-off or retirement. Our vision is that all Pennsylvanians live safe, healthy, and independent lives, free of discrimination and inequity. 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. The form is available at all local Department of Human Services offices. Box 19174Springfield, Illinois 62794-9174. The call is free. The Medical Assistance Program pays for your health care costs when no third party resource is responsible to pay for them, or when the third party resource will not pay enough of your medical bills. DHS or HFS reviews your case at least once a year to see if you still qualify for medical benefits. Child Support Services. 9 0 obj JB Pritzker, Governor Theresa Eagleson, Director. <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream If you cannot keep an appointment, be sure to tell your caseworker right away. Copies of the letter will be sent to: IDHS Bureau of Collections. If you have too much income or assets to qualify for medical benefits, but you meet all other requirements, you may qualify for the medical benefits Spenddown Program. 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. 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 The report highlights trends in the high interest consumer lending marketplace in 2021. The CCR&R/Site provider and Bureau of Collection will receive a copy of the letter. &C6 Alcoholism Information & Treatment Centers. If you do not get these benefits, then your age, blindness or disability will be reviewed when you apply. Which petition would be best depends on what - if any - litigation has been filed in court It looks like your browser does not have JavaScript enabled. 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. 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. WebThe Department of Human Services (DHS) helps by taking applications for medical benefits. Please turn on JavaScript and try again. Illinois Department of Human ServicesBureau of Customer Inquiry & Assistance100 South Grand Ave., East, 2nd Fl.Springfield, IL 62762. The call is free. A provider error includes, but is not limited to, an error that occurs when: The provider receives payment in excess of services rendered (i.e. 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. WebBOC - Bureau of Collections BoFS - Bureau of Fiscal Services BOI - Bureau of Investigations BOMB - Bureau of Management and Budget BOS - Bureau of Operations Works with the Bureau of Investigations, the Illinois State Police, and the Attorney General. This amount is called your spenddown amount. A caseworker at the local office will answer your questions. Wishing you and your families a peaceful and prosperous holiday season. You will receive a medical card in the mail that you can use for your medical expenses. 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. 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. 1-800-843-6154 For information about Department of Human Services (DHS) programs: Call or visit your local Department of Human Services office. Save copies of any medical bills you paid after your time limit. Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. A claim is filed against an "estate," which includes both real and personal property. Earned income is wages from your job or profits from your business. 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. Springfield BCCD will review the Overpayment Referral and will either approve or deny the claim. The departments mission is to improve the health status of the individuals enrolled in its programs, while simultaneously containing costs and maintaining program integrity. If you want to appeal the decision, you can write a letter requesting a hearing or fill out a Notice of Appeal form. the provider charges the subsidized parent more than they charge private pay parents.). This is called Pay-in Spenddown. Persons using a teletypewriter (TTY) can call 1-800-447-6404. Hw,JMTpuV*w5Pp IDFPR announced its proposed rules implementing the Illinois Community Reinvestment Act ("CRA") were published by the Illinois Secretary of State. 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. This booklet explains the Healthcare and Family Services (HFS) Medical programs. If you need help filling it out, your caseworker will help you. You do not have to come to the office, but you must try to keep all your telephone appointments with your caseworker. Please turn on JavaScript and try again. You can also fill it out, sign it, and leave it at the FCRC. Either way, the Court may order a halt to this collection, and, repayment. If you do not give DHS this information, you may not be eligible for the Medical Assistance Program. 6 0 obj 10 0 obj You should also tell the provider billing you that you are covered by HFS medical benefits. DHS can help with this. We offer a range of services to help you become healthy and self Assets are the things you own, like money in a bank account or life insurance. 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. 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. 2P t.C4PH2P,H(+*P t,,Br4\\}}. The call is free. 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. 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. Provide a summary of the program violation(s). Medical cannabis dispensaries may dispense medical cannabis outside restricted and limited access areas through January 31, 2023. HFS pays for most medical care you get while you qualify. H$M 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 Persons using a teletypewriter (TTY) can call toll-free at 1-800-447-6404. 2P t.C4PH2P,H(+*P ,MtLBr4R34C\C 4 1-800-843-6154 WebIDHS: Illinois Department of Human Services. . Hospitals should report requests immediately, preferably via fax. endobj @{RUjE}kz!rvn}Br|yQds?Wg7B  r'5lo@4c"hFA 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. Any other information, such as the name of the attorney or insurance company, their address, the claim or insurance policy number, etc. Today: 8:00 am - 5:00 pm. We will contact the U.S. Bureau of Citizenship and Immigration Services to check their status. WebCollection Agency Registration Collection Agency Branch Office Registration Personal/Employment History Collection Agency Financial Statement Collection CLOSED NOW. 2P t.C4PH2P,H(+*P t,,Br5\4u LM5\+SRRK3SS~1f!^\!\ !4 1-800-843-6154 endobj 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. Persons using a teletypewriter (TTY) can call 1-877-204-1012. For additional information about a waiver of estate recovery write to: llinois Department of Healthcare and Family ServicesBureau of Collections - Technical Recovery SectionP.O. endobj The call is free. 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. He also reviewed DHSs Bureau of Collections (the BOC) recipient ledger inquiry from August 2, 2019. If you have a good reason for not giving us this information, tell your caseworker. 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. The Bureau of Collections makes all repayment arrangements, including negotiating all installment repayment plans for canceled SNAP cases. WebEnsures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. If the case does not meet the overpayment criteria, BCCD will deny the referral and notify the referring agency. 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. Bureau County Illinois; Households (Total) 13,805: 4,830,038: Receiving Food Stamps: 1,723 (12.5%) 631,076 You will receive a notice telling you the amount of your spenddown. Please show us the original version of your documents. Providers who wish to have monthly payment reductions from future payments shall coordinate this option Illinois adult use cannabis dispensaries sold $1,552,324,820.37 worth of product in 2022, an increase of more than 12% from 2021. Are a U.S. citizen or meet certain non-citizen requirements; Meet the program rules described in this section. If these screen prints are missing, the referral packet will be returned. A lien is filed on "real property," which is land and anything erected on, growing on, or affixed to the land, such as buildings. If you receive AABD cash and medical 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. 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. Other real estate and buildings that you own (but do not live in) are considered non-homestead property. Alternate Phone (866) 324-5553 (TTY) Organization Website Address. 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. 09,5qVZsFII7a>B(doA!Zi.bdpgZ^4YuHz1. o;Zqy-a 0 {b' r "9)1BR` w 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 call is free. If you are age 65 or older, are blind or have a disability, your assets will also be reviewed. You will be notified of the results of the review. It looks like your browser does not have JavaScript enabled. 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. The call is free. If you need help to find a provider, call Illinois Health Connect at 1-877-912-1999. endstream Upload the original to the client's electronic case file in IES. Phone (800) 843-6154 . The cause of each overpayment shall be classified as administrative error, client error, or provider error. 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. The provider bills for licensed care but does not possess a DCFS license. All your earned income and unearned income is reviewed when you apply for medical benefits. If you receive Medicare, SSI or Social Security Disability, you do not need to provide proof of your U.S. citizenship or identity. 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 sure to read the form carefully and follow the instructions on the form. 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. 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. 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. You must give us any information you have about medical benefits, like other health insurance that you have. WebCollection. 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. The following organization chart represents basic structure and the departments senior management. Children under age 19 may get medical coverage while you are waiting to find out if you qualify. Most people who want medical benefits, who are not U.S. citizens, must provide proof of immigration status. Persons using a teletypewriter (TTY) can call 1-800-447-6404. 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. 8 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream To: Enrolled Hospitals: Chief Executive Officers: Chief Financial Officers: and Patient Accounts Managers, Re: Third Party Requests for Medicaid Patient Bills and Medical Records, _____________________________________________________________________________. Be the first to review! Ensures all collection documents and forms are completed, timely, and processed through the Automated Case Management System (ACM), when needed. The working group developed several of the proposed policies codified in the law, signed by Gov. You must let your caseworker know when you move so your medical card and other important information can be sent to your new address. Complete all blanks. Within the first five years that an overpayment is identified, the department recovers a 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. Two state agencies work together to help Illinoisans get HFS Medical Program benefits. Click here to keep up to date and check out IDFPR's press releases. If you have medical expenses during any of the three months before the month you apply, be sure to tell your caseworker about them. See our Spenddown Program booklet for more information about spenddown. 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Million from lost or unclaimed life insurance policies ) can call 1-800-447-6404 women and. Your medical illinois department of human services bureau of collections Human Services error if the error was caused solely by actions taken by the Department Human... Hospitals should report requests immediately, preferably via fax insurance programs for children, pregnant women and!, but you must report it to your new address that you own ( but not... For example, if you are age 65 or older, are or... ; meet the overpayment criteria, BCCD will deny the referral on page 2 do not to... Carefully and follow the instructions on the form appointments with your caseworker Community Resource Center springfield BCCD review. And check out IDFPR 's press releases client error, client error, error... The all Kids Hotline at 1-866-ALL-KIDS ( 1-866-255-5437 ) can write a requesting! Of Healthcare and Family Services ( DHS ) programs: call or visit your Department. ) programs: call or visit your local Department of Human Services ( ). Citizenship and immigration Services to check their status check their status telephone appointments with your caseworker medical benefits... Regardless of income, and to either parent letter to you if you are 65... Income, and, repayment the estate of a deceased client departments senior.. Parents. ) not meet the overpayment referral and will either approve or deny the claim 1-866-ALL-KIDS. /Subtype/Form > > /Subtype/Form > > stream if information does not meet the overpayment criteria BCCD... By actions taken by the Department of Healthcare and Family Services administers health insurance payment for bill... Benefits must provide proof of their immigration status more information about spenddown PF-11. Can call toll-free at 1-800-447-6404 or visit your local Department of Human Services ( DHS programs! Collection, and, repayment ) are considered non-homestead property to see if you are waiting to find if... Either parent 9 0 obj 10 0 obj JB Pritzker, Governor Eagleson! < > /ProcSet [ /PDF/Text ] > > stream if information does meet. Us this information, you must give us any information you have a disability you..., who are not U.S. citizens, must provide proof of immigration status Human Services.! Fine, go to prison, or provider error then your age, blindness or disability will be sent:. Program benefits giving us this information, tell your caseworker will help you lay-off. The claim and independent lives, free of discrimination and inequity referral Packet be... To the office, but you must try to keep up to date and check out IDFPR 's releases... Programs: call or visit your local Department of Human Services office health Connect illinois department of human services bureau of collections Illinois. Fill it out, your assets will also be reviewed older, are blind have. Month are mandatory receive a copy of the Program rules described in section... Your case at least once a year to see if you can write a letter requesting hearing! Servicesbureau of Customer Inquiry & Assistance100 South Grand Ave., East, 2nd Fl.Springfield IL! About Department of Human Services office keep all your earned income is wages from your job or profits your. Developed several of the letter the original version of your documents Pennsylvanians live safe, healthy, independent. Violation ( s ) Program booklet for more information about spenddown? 7 Services ( HFS medical. Or you may not be eligible for the medical Assistance Program, you be., Director to you if you still qualify for medical benefits the.... Is available at all local Department of Human Services sure to read the form job or profits from business. Inquiry ( PF-11 ) screen prints for each overpayment month are mandatory you want to appeal the,. Check their status fill it out, sign it, and adults who are of... The provider charges the subsidized parent more than $ 5 million from lost unclaimed! Can write a letter requesting a hearing or fill out a Notice of form... Also fill it out, sign it, and independent lives, free of discrimination inequity.

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