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Forms Available on Healthcare and Family Services Web site

Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Apr 7, 2010
We identified it
Jun 21, 2026
Days to comply

Summary

Illinois Healthcare and Family Services has made commonly used long term care forms available online for easy access and printing. Providers should use the website to ensure they have the most current version of required forms for admissions, discharges, bed reserves, and third party liability reporting.

Action Required

Action needed
Immediately: Long term care billing staff should bookmark the Illinois HFS forms website (http://www.hfs.illinois.gov/medicalforms/) and verify they are using current versions of forms HFS 26, HFS 1156, HFS 2234, HFS 2316, HFS 2378H, HFS 3461, and HFS 3867. Check website for latest versions before printing forms.