PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form HFS1446
for the current year.
Form HFS1446 Long Term Care (Snf / Icf) Provider Monthly Assessment Report - Illinois
What Is Form HFS1446?
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 Form HFS1446?A: Form HFS1446 is the Long Term Care (SNF/ICF) Provider Monthly Assessment Report.
Q: Who is required to complete Form HFS1446?A: Long term care providers in Illinois are required to complete Form HFS1446.
Q: What information does Form HFS1446 collect?A: Form HFS1446 collects monthly assessment information from long term care providers, such as resident data, services provided, and payment details.
Q: Are there any deadlines for submitting Form HFS1446?A: Yes, long term care providers are required to submit Form HFS1446 by the 10th day of the following month.
Q: Is Form HFS1446 specific to Illinois?A: Yes, Form HFS1446 is specific to long term care providers in Illinois.
Q: Are there any penalties for not submitting Form HFS1446?A: Failure to submit Form HFS1446 or submitting it late may result in a penalty or loss of payment.
Q: Who should I contact if I have questions about Form HFS1446?A: For any questions or concerns about Form HFS1446, you should contact the Illinois Department of Healthcare and Family Services.
Q: Is Form HFS1446 confidential?A: Yes, the information provided on Form HFS1446 is confidential and protected under privacy laws.
Form Details:
- Released on June 1, 2012;
- 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 HFS1446 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.
