Cancel HBWD when the participant:
Form HFS 458MB1 will be centrally generated.
After the first monthly premium is paid and HBWD coverage is authorized, the participant receives a monthly statement. Subsequent premiums are due by the 20th of the month before the month of coverage. For participants who do not pay their premium by
the end of the month following the month due, the case will be terminated. The person must reapply to receive benefits again.
TA 12/TAR 98, Quick Reinstatement, may be used for HBWD cases, except for cases cancelled in "enrolled" status or those canceled due to non-payment of premium.
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
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