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MedicaidAdministrativeMedium impact

Third Party Requests for Medicaid Patient Bills and Medical Records

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Oct 9, 2012
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois hospitals must immediately report all third-party requests for Medicaid patient bills and medical records to the state Department of Healthcare and Family Services. This includes requests from attorneys, insurance companies, or participants for medical information or records related to Medicaid-covered services.

Action Required

Action needed
Immediately: All hospital staff must report any third-party requests for Medicaid patient information to the Illinois Department of Healthcare and Family Services Bureau of Collections. Fax requests to 312-793-8169 (Cook County) or 217-524-5672 (other counties). Include patient name, DOB, recipient ID number, service dates, and requesting entity information. Cannot refund Medicaid payments to assert own liens on personal injury settlements.