Form HFS1593 Notification to Hfs of Illinois Medicaid Hospice Benefit - Continuing Benefit Period and Recertification of Terminal Illness - Illinois

Form HFS1593 Notification to Hfs of Illinois Medicaid Hospice Benefit - Continuing Benefit Period and Recertification of Terminal Illness - Illinois

What Is Form HFS1593?

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 Form HFS1593?
A: Form HFS1593 is the notification form to inform HFS (Illinois Department of Healthcare and Family Services) about the Medicaid hospice benefit in Illinois.

Q: What is the purpose of Form HFS1593?
A: The purpose of Form HFS1593 is to provide notification to HFS regarding the continuing benefit period and recertification of terminal illness for Medicaid hospice beneficiaries in Illinois.

Q: Who is required to complete Form HFS1593?
A: Form HFS1593 is completed by the hospice provider and signed by the physician or nurse practitioner in charge of the care.

Q: What information is required on Form HFS1593?
A: Form HFS1593 requires information such as the beneficiary's name, date of admission to hospice care, diagnosis, certification period, and recertification of terminal illness.

Q: Is Form HFS1593 mandatory?
A: Yes, Form HFS1593 is mandatory for hospice providers to notify HFS about the Medicaid hospice benefit in Illinois.

Q: Are there any fees associated with submitting Form HFS1593?
A: No, there are no fees associated with submitting Form HFS1593.

Q: What should I do if there are changes or updates to the beneficiary's information?
A: If there are changes or updates to the beneficiary's information, the hospice provider should submit an updated Form HFS1593 to HFS.

Q: Can Form HFS1593 be submitted electronically?
A: Yes, Form HFS1593 can be submitted electronically or by mail.

Q: Is there a deadline for submitting Form HFS1593?
A: Yes, Form HFS1593 should be submitted to HFS within 5 working days of the start of the continuing benefit period or recertification of terminal illness.

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Form Details:

  • Released on February 1, 2016;
  • 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;

Download a fillable version of Form HFS1593 by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.

Download Form HFS1593 Notification to Hfs of Illinois Medicaid Hospice Benefit - Continuing Benefit Period and Recertification of Terminal Illness - Illinois

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