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Nding Physician Name: Attending Physician Number: Level of Care (Check One): SNF ICF ICF/MR SLF SLF Dementia Unit 2. DISCHARGE Discharge Date: To: Community Other LTC Facility Left State/County Unknown SLF General Hospital Other CILA New Address: 3. DEATH Date of Death: Body Released To: 4. COMPLETE THIS SECTION ONLY WHEN REPORTING A DISCHARGE OR DEATH Personal Funds Balance on the Day of Discharge or Death: $ Amount of Other Funds on the Day of Discharge or Death: $ Room.

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To keep getting care through HealthChoice Illinois, you are asked to renew your Medicaid coverage every year. It is a simple process just to make sure you are still qualified to receive benefits. You may also know this annual renewal as “redetermination.”

How do I apply for Illinois Medicaid? To get more information on applying for Medicaid, please contact the Health Benefits Hotline at 1-800-843-6154. TTY users can call 855-889-4326.

Eligibility Verification Use this link for information on the MEDI System. Use this link for information on the REV Eligibility System. AVRS eligibility system is available 24 hours a day at: 1-800-842-1461.

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.

This may include medical care/treatment/supplies, nursing home services, in-home personal care, Medicare premiums, and prescription drugs. Effective April 2023 – March 2024, the Medically Needy Income Limit (MNIL) in IL is $1,215 / month for an individual and $1,643 / month for a couple.

How long does the State have to process my medical application? The law requires the State to process medical applications as follows: 60 days - Medical assistance for persons requiring a disability determination. 45 days - Medical assistance for all others.

Hand-foot syndrome (HFS), or palmar-plantar erythrodysesthesia, is a skin reaction that affects the palms of your hands and the soles of your feet. It's a common side effect of some types of chemotherapy. Symptoms include redness, swelling and sometimes pain.

1-800-842-1461. To use the automated system, you must have the individual's Medicaid Recipient Identification Number (RIN) and the date of service for which you need eligibility information. If you do not know the individual's RIN, you need the individual's name, birthdate and SSN and must talk with hotline staff.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232