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  • Notice of Privacy Incident
  • Medicaid Provider Termination Alert: Revalidation deadlines are approaching. Failure by providers to revalidate will lead to termination and payment suspension. Check your account now at https://impact.illinois.gov/ to learn if your required revalidation is due this month. More revalidation information here.
Elizabeth M. Whitehorn, Director

Application

Apply Online

  1. Abe.illinois.gov or

Application Download

  1. English HBWD Application (pdf)

  2. Solicitud de HBWD en español (pdf)

For more information or to request an application to be mailed, please call our hotline Toll-Free at:

1-800-226-0768

TTY: 1-866-675-8440

The HBWD Application is available for download in Portable Document Format (PDF). You will need Adobe Acrobat Reader® to view or print these files.

If Acrobat Reader is not already installed on your computer, click on the icon below for a free Download. Then follow the instructions to install the program.