HFS 3120 Medicaid Payment of Medicare Cost Sharing Expenses & HFS 3757 Medicare Savings for Qualified Beneficiaries

Information Memo: HFS 3120, Medicaid Payment of Medicare Cost Sharing Expenses and HFS 3757-Medicare Savings for Qualified Beneficiaries

Summary

• Form HFS 3120/3120S, Medicaid Payment of Medicare Cost Sharing Expenses, has been revised.
• HFS 3757/3757S, Medicare Savings for Qualified Beneficiaries, has been revised. 
• Forms and brochures are available online at www.hfs.illinois.gov/medicalbrochures.

HFS 3120 (pdf)/3120S (pdf) (R-07-11) and HFS 3757 (pdf)/HFS 3757S (pdf) (R-03-11), may be downloaded at www.hfs.illinois.gov/medicalbrochures.