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FamilyCaseManagement
The Illinois Department of Human Services (DHS) funds several Maternal and Child Health programs which include Family Case Management, High Risk Infant Follow-Up, and Better Birth Outcomes. These Maternal and Child Health (MCH) programs are a cooperative effort between DHS and the Illinois Department of Healthcare and Family Services (HFS). The goal of the MCH programs is to assure that pregnant women, new mothers and infants receive the necessary prenatal, postpartum and preventive health care. These programs are in compliance with the Medical Assistance Program authorized under Title XIX of the Social Security Act and the State Children's Health Insurance Program authorized under Title XXI of the Social Security Act, as administered by HFS.
DHS has contracts with the following types of organizations to provide family case management services:
- Local Health Departments (LHDs)
- Federally Qualified Health Centers (FQHCs)
- Not-for-profit organizations
Under federal Medicaid law, local units of government, such as LHDs, may submit claims for federal reimbursement of expenditures spent in their counties on behalf of persons enrolled in the Medical Programs that are in excess of any DHS grant funds.
LHDs who wish to participate in Medicaid administrative claiming must:
- Sign an Intergovernmental Agreement with HFS (pdf)
- Follow the instructions in the Guide to Medicaid Administrative Claiming for Local Health Departments, and
- Use the HFS Administrative Claim Summary Schedule form. For any questions about the MCH programs or to submit claims to HFS, email HFS.BPPC.LHDClaim@illinois.gov