Get Hfs 1443 Form

What do I do if my Medical Card is lost or stolen? Call DHS 1-800-843-6154 or HFS 1-800-226-0768 (TTY 1-877-204-1012) to request a replacement card.

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.

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.

Non-Institutional claims are subject to a timely filing deadline of 180 days from date of service. Timely filing applies to both initial and re-submitted claims.

MEDICAID APPLICATION DOCUMENTS DRIVERS LICENSE, PHOTO ID CARD, OR PASSPORT. SOCIAL SECURITY CARD FOR APPLICANT (and spouse if living) RED, WHITE, AND BLUE MEDICARE CARD. HEALTH INSURANCE CARDS, PREMIUM AMOUNT STATEMENT.

Timely filing is 180 days from the discharge date. Medicare/Medicaid combination claims are allowed 24 months from the date of service. If you have an exception to the 180 days filing limit, submit the claim on paper with an HFS 1624A override request form.

If you aren't sure if your Medicaid coverage has been approved yet or if it is still active, you can check Manage My Case or call the state's Automated Voice Recognition System (AVRS) at 1-855-828-4995 with your Recipient Identification Number (RIN).

Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided.

Call the DHS Customer Service Helpline for assistance at: (800) 843-6154 voice/(866) 324-5553 TTY, Monday through Friday, 8:00 a.m. to 5:30 p.m., except state holidays.

The appeal packet must be submitted to DDD within 60 calendar days of the date that the individual receives the Notice of Individual's Right to Appeal Medicaid Waiver Determinations [IL462-1202].

What do I do if my Medical Card is lost or stolen? Call DHS 1-800-843-6154 or HFS 1-800-226-0768 (TTY 1-877-204-1012) to request a replacement card.

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.

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.

Non-Institutional claims are subject to a timely filing deadline of 180 days from date of service. Timely filing applies to both initial and re-submitted claims.

MEDICAID APPLICATION DOCUMENTS DRIVERS LICENSE, PHOTO ID CARD, OR PASSPORT. SOCIAL SECURITY CARD FOR APPLICANT (and spouse if living) RED, WHITE, AND BLUE MEDICARE CARD. HEALTH INSURANCE CARDS, PREMIUM AMOUNT STATEMENT.

Timely filing is 180 days from the discharge date. Medicare/Medicaid combination claims are allowed 24 months from the date of service. If you have an exception to the 180 days filing limit, submit the claim on paper with an HFS 1624A override request form.

If you aren't sure if your Medicaid coverage has been approved yet or if it is still active, you can check Manage My Case or call the state's Automated Voice Recognition System (AVRS) at 1-855-828-4995 with your Recipient Identification Number (RIN).

Medicare claims must be filed no later than 12 months (or 1 full calendar year) after the date when the services were provided.

Call the DHS Customer Service Helpline for assistance at: (800) 843-6154 voice/(866) 324-5553 TTY, Monday through Friday, 8:00 a.m. to 5:30 p.m., except state holidays.

The appeal packet must be submitted to DDD within 60 calendar days of the date that the individual receives the Notice of Individual's Right to Appeal Medicaid Waiver Determinations [IL462-1202].