- Form HFS 3120 (pdf)/3120S (pdf) (R-02-13), Medicaid Payment of Medicare Cost Sharing Expenses, has been revised.
- Brochure HFS 3757 (pdf)/3757S (pdf) (R-02-13), Medicare Savings for Qualified Beneficiaries, has been revised.
- HFS 3120/HFS 3120S and HFS 3757/HFS 3757S, may be downloaded at HFS Forms (http://www2.illinois.gov/hfs/agency/Brochures%20and%20Forms/Pages/default.aspx/ )
[signed copy on file]
Michelle R. B. Saddler
Secretary, Department of Human Services
Director, Healthcare and Family Services
- HFS 3120
- HFS 3120S
- HFS 3757
- HFS 3757S