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  • Medicaid Provider Alert: Provider revalidation has begun and those not completing the process risk disenrollment.  Check your account now to learn when your revalidation is due. More information here.
  • Child Support Springfield Regional Office at 607 E Adams Street, Springfield, will be closed beginning Friday, August 15, 2025, and will re-open for in-person service on Tuesday, August 19, 2025. For more information, call 800.447.4278 or email HFS.SRO@illinois.gov.

Application Download

State Chronic Renal Disease Program Applications can be completed online with a fillable PDF. Print and then sign your application and return to:

Illinois Department of Healthcare and Family Services
Bureau of Comprehensive Health Services
State Chronic Renal Disease Program-Program Coordinator
607 East Adams Street, 7th Floor
Springfield, IL 62701
Telephone: 217-785-2867
Telefax: 217-558-1317