NOTE: The provider must complete all the above actions on the same day that they find the woman qualifies for the MPE program.
Distributes Form 3089:
NOTE: Form 3089 may be faxed or mailed. If faxed, the MPE provider must mail the original to the DHS Family Community Resource Center or HFS Central All Kids Unit within 5 workdays.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce Quintero, Secretary
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