The Illinois Department of Healthcare and Family Services (HFS) announced on April 16 that it has completed the mailings for the new HFS medical cards.
As previously noted, the HFS medical cards are not proof of eligibility. Providers must verify client eligibility and PCP assignment prior to each appointment on the date of service. This can be done using the HFS MEDI System, a Recipient Eligibility Verification (REV) System, the Automated Voice Response System (800-842-1461) or the HFS Health Benefits Provider Line (800-226-0768, option 6). Providers should not call the HFS billing department to verify eligibility.
The Illinois Health Connect (IHC) can verify PCP assignment, but not client eligibility, through either the IHC Provider Services Help Desk (877-912-1999, extension 3) or the Who's My PCP? link on the IHC website.
Providers may not charge clients for eligibility verification.
Providers should not refuse service if a client does not have their medical card. Eligibility and PCP status can be confirmed via MEDI using the client's name along with either the client's date of birth, or the client's Social Security number.
It is OK for clients to laminate their medical card. This will not impact the validity of the card in any way.
If client needs to request a replacement card or need assistance with their medical card, they should call either DHS (800-843-6154) or HFS (800-226-0768). Clients should not be directed to DHS Family Community Resource Centers for assistance with medical cards, as they no longer issue temporary cards or help with medical card issues.
