Get Family Support Program (fsp) Application Packet - Illinois.gov

The Family Support Program (FSP) Application Packet provides essential support for families looking to access services for youth with behavioral health needs. This guide outlines the necessary steps to effectively complete the application online, ensuring all required information is accurately submitted.

Follow the steps to complete your FSP application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out Section 1, General Information. Provide details about the youth, including their name, birth date, and Social Security Number. Ensure that all fields are completed accurately and reflect current information.
3. Proceed to Section 2, Family Financial Information. This section requires information about the family's financial status, including tax returns and any insurance coverage. Be prepared to attach necessary documentation supporting this information.
4. Complete Section 3, Youth’s Behavioral Health Treatment History, by detailing the youth's mental health and substance use services received in the past year. Include any psychiatric hospitalizations, outpatient services, and ongoing medication details.
5. In Section 4, Acknowledgement of FSP Parent or Guardian Responsibilities, review and initial next to each responsibility, indicating understanding and agreement. Sign and date this acknowledgment at the end of the section.
6. Finalize your application by completing Section 5, Request for Eligibility Determination. Here, sign to affirm that all information provided is correct and complete, and indicate whether you are submitting the application with or without the assistance of your FSP Coordinator.
7. Review the entire application for accuracy. Once satisfied, save changes to your application, download a copy for your records, and print it for submission.
8. Submit the application either online as instructed, by faxing it to eQHealth Solutions, or mailing it to the provided address. Make sure the subject line indicates “FSP Application for Review” if faxing.

Complete your Family Support Program Application online confidently and ensure all required documentation is submitted for prompt review.