HFS 3757-Medicare Savings for Qualified Beneficiaries/HFS 3120-Medicaid Payment of Medicare Cost Sharing Expenses for 2017

08/17/17

Information Memo

• Brochure HFS 3757(pdf)/3757S (pdf) (R-02-17), Medicare Savings for Qualified Beneficiaries, revised.
• HFS 3120 (pdf)/3120S (pdf) (R-02-17), Medicaid Payment of Medicare Cost Sharing Expenses revised.
• HFS 3757/HFS 3757S and HFS 3120/HFS 3120S is available online at http://www.illinois.gov/hfs/info/Brochures%20and%20Forms/Pages/default.aspx/.

[signed copy on file]

James T. Dimas

Secretary, Illinois Department of Human Services

Felicia F. Norwood

Director, Healthcare and Family Services

Brochure Referenced

HFS 3757

HFS 3757S

HFS 3120

HFS 3120S