If DHS and HFS make timely decisions on less than 96% of the medical benefits applications received during a month, the State must reimburse qualifying applicants for covered medical expenses they paid or someone paid for them.
A person qualifies for reimbursement if DHS and HFS failed to meet the 96% standard for the month in which their application was approved and:
In addition, a long-term care resident may be entitled to reimbursement if DHS did not send a timely approval for billing.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce Quintero, Secretary
IDHS Office Locator
IDHS Help Line
© 2023 Illinois Department of Human Services