PM 07-02-15
(FCRC) Request a copy of the trust agreement;
Complete form HFS 2150 and email the form and the trust document to HFS OIG LTC-ADI at HFS.OIG.LTC-ADI-Legal@illinois.gov or fax to 217-524-3030.
(HFS OIG LTC-ADI Legal)
Notifies the FCRC of:
(FCRC)
Upload HFS OIG analysis to the case.
(LTC Hub)
(HFS OIG LTC-ADI)
Uploads LTC-ADI Directive and resource verifications to the case.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce M. Quintero, Secretary Designate
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