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MedicaidAdministrativeLow impact

Provider Forms Request (HFS 1517) Now Available on the Internet

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 9, 2004
We identified it
Jun 21, 2026
Days to comply

Summary

The Illinois Department of Healthcare and Family Services has made Form HFS 1517 (Provider Forms Request) available online for submitting requests for required billing forms, prior approval forms, and adjustment forms. Providers can now complete and submit the form directly through the department's website instead of only by fax or mail.

Action Required

Action needed
Illinois providers should bookmark the new online Form HFS 1517 on the department's website for future billing form requests. Continue to limit requests to a three-month supply and allow 30 days for delivery. Alternative submission methods (fax to 217-557-6800 or mail) remain available.