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Reporting Resident Death - Corrected Telefax Telephone Number

Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Nov 3, 2003
We identified it
Jun 21, 2026
Days to comply

Summary

The Illinois Department of Human Services corrected the fax number for reporting long-term care facility resident deaths from an incorrect number to 217-557-4210. Long-term care providers must use this corrected number when faxing Form DPA 1156 within five working days of a resident's death.

Action Required

Action needed
Immediately: Long-term care facilities must update their procedures to use the corrected fax number 217-557-4210 when reporting resident deaths using Form DPA 1156. Administrative staff should update any written procedures, quick reference guides, or contact lists with the correct fax number. Continue to retain fax confirmations as required documentation.