Each month, the Bureau of Program and Performance Management (BP&PM), formerly called the Bureau of Research and Analysis, determines whether or not medical applicants whose applications were delayed qualify for reimbursement of medical expenses paid while their application was delayed.
NOTE: If the percent of timely dispositions does not meet the 96%, certain persons can qualify for reimbursement of medical expenses.
Form 2379 notifies the person that they may be entitled to a reimbursement of paid medical expenses. Form 2379 is sent to the applicant on the last workday of the month following the month that the disposition was made.
There is no time limit by which the client must request the reimbursement.
Use any of the following sources or combination of the sources to verify the claim:
Only those expenses for services covered by medical benefits are reimbursable. Services provided by a medical vendor not approved by the Department are reimbursable. The Department will not reimburse for a service that has been paid by a TPL resource, such as an insurance company.
Send Notice of Denial of Request for Compensatory Payment (Form 2380) to the client to deny the claim.
Long term care clients can qualify for a reimbursement of medical expenses:
The reimbursement is for the amount that has been paid by or on behalf of the resident for covered medical services provided between:
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
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