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Corrected Post Office Box for Mailing Adjustment Form HFS 2249

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Dec 28, 2012
We identified it
Jun 20, 2026
Days to comply

Summary

The Illinois Department of Healthcare and Family Services has changed the mailing address for paper adjustment forms (HFS 2249). All hospitals, renal dialysis facilities, and ambulatory surgical treatment centers must now send adjustment forms to a new P.O. Box 19101 in Springfield, Illinois.

Action Required

Action needed
Immediately: Billing team must update all processes to use the new mailing address (Illinois Department of Healthcare and Family Services, P.O. Box 19101, Springfield, Illinois 62794-9101) for submitting paper adjustment forms HFS 2249. Order new pre-addressed HFS 1416 envelopes from the department's website Forms Request page. Stop using the old P.O. Box address to avoid processing delays.