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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.
Elizabeth M. Whitehorn, Director

Provider Notice issued 12/06/06

Medical Forms Requests

To:​ All Enrolled Providers​
Date:​ December 6, 2006​
Re:​ Medical Forms Requests ​

The Department of Healthcare and Family Services is pleased to announce that all form requests submitted to the department on or after January 1, 2007, will be distributed exclusively by our Bureau of Administrative Services located in Springfield, Illinois.

 

This new distribution procedure will require that providers submit all requests for medical forms through a single distribution center. As of January 1, 2007, requests for medical forms shall be made by selecting one of the following methods:

Illinois Department of Healthcare and Family Services

Medical Desk, HFS Warehouse

2946 Old Rochester Road

Springfield, IL 62703-5659

Please note that as of January 1, 2007, all form requests must be submitted on Form HFS 1517. As of this same date, the department will no longer accept form requests submitted on the Form HFS 1517A. Please refer to Chapter 100, General Appendix 10 for a sample of Form HFS 1517. Chapter 100 is available on the department’s Web site at:

 

http://www.illinois.gov/hfs/MedicalProviders/Handbooks/Pages/Chapter100.aspx

 

 

Providers are encouraged to submit claims through the department's Medical Electronic Data Interchange, Internet Electronic Claims (MEDI/IEC) System at <http://www.myhfs.illinois.gov/>. This free electronic feature allows providers to submit claims directly to the department through Internet browser software with no additional hardware or software required.

 

If you have any questions regarding this notice, please contact the Bureau of Administrative Services at 217-557-6905.

 

Anne Marie Murphy, Ph.D.

Illinois Medicaid Director

Division of Medical Programs