Form HFS1413B Waiver Program Provider Agreement for Participation in the Illinois Medical Assistance Program - Illinois

Form HFS1413B Waiver Program Provider Agreement for Participation in the Illinois Medical Assistance Program - Illinois

What Is Form HFS1413B?

This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the HFS1413B Waiver Program Provider Agreement?A: The HFS1413B Waiver Program Provider Agreement is a document that providers must complete in order to participate in the Illinois Medical Assistance Program (Medicaid) Waiver Program.

Q: What is the Illinois Medical Assistance Program?A: The Illinois Medical Assistance Program, also known as Medicaid, is a government-funded health insurance program that provides healthcare coverage to low-income individuals and families in Illinois.

Q: What is the purpose of the HFS1413B Waiver Program Provider Agreement?A: The purpose of the HFS1413B Waiver Program Provider Agreement is to establish the terms and conditions for providers to participate in the Illinois Medical Assistance Program Waiver Program.

Q: Who needs to complete the HFS1413B Waiver Program Provider Agreement?A: Providers who wish to participate in the Illinois Medical Assistance Program Waiver Program need to complete the HFS1413B Waiver Program Provider Agreement.

Q: What are the requirements to participate in the Illinois Medical Assistance Program Waiver Program?A: To participate in the Illinois Medical Assistance Program Waiver Program, providers must meet certain eligibility and certification requirements, which will be outlined in the HFS1413B Waiver Program Provider Agreement.

Q: Can I participate in the Illinois Medical Assistance Program without completing the HFS1413B Waiver Program Provider Agreement?A: No, providers must complete the HFS1413B Waiver Program Provider Agreement in order to participate in the Illinois Medical Assistance Program Waiver Program.

Q: Are there any fees or costs associated with participating in the Illinois Medical Assistance Program Waiver Program?A: The specific fees and costs associated with participating in the Illinois Medical Assistance Program Waiver Program will be outlined in the HFS1413B Waiver Program Provider Agreement.

Q: How often do I need to renew the HFS1413B Waiver Program Provider Agreement?A: The HFS1413B Waiver Program Provider Agreement typically needs to be renewed on an annual basis, but always refer to the agreement itself for the specific renewal requirements.

Q: Who should I contact if I have questions about the HFS1413B Waiver Program Provider Agreement?A: If you have questions about the HFS1413B Waiver Program Provider Agreement, you should contact the Illinois Department of Healthcare and Family Services (HFS) or your local HFS office for assistance.

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Form Details:

  • Released on July 1, 2010;
  • The latest edition provided by the Illinois Department of Healthcare and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HFS1413B by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.

Download Form HFS1413B Waiver Program Provider Agreement for Participation in the Illinois Medical Assistance Program - Illinois

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