Medical Program Brochures Alphabetical Listing

* Important Note: For best results, use Internet Explorer v11 or above to open HFS Medical forms. If you use Chrome or other browsers, you may experience technical difficulties with certain fillable PDF's, depending on your browser settings. If this is the case, right-click the form link, save the PDF to your device, then open the form outside of your browser.

• ​Citizenship Documents and Your Medical Benefits HFS 3859D (pdf)
• Citizenship Documents and Your Medical Benefits (Spanish) HFS 3859DS (pdf)
• Healthcare Programs for Families Member Handbook HFS 3793 (pdf)
• Healthcare Programs for Families Member Handbook Spanish HFS 3793S (pdf)
• Healthy Kids Annual Notice HFS 1802
• Healthy Kids Annual Notice (Spanish) HFS 1802S
• Healthy Kids Checkups HFS 1123
• Healthy Kids Checkups (Spanish) HFS 1123S
• Hotline Information & Residents Rights (Spanish) HFS 3777S
• How to Get a Medical Card and Primary Care Provider (PCP) for Your Baby (English) HFS469I (pdf)
• How to Get a Medical Card and Primary Care Provider (PCP) for Your Baby (Spanish) HFS469IS (pdf)
• Illinois Medical Assistance Dental Program (English) DentaQuest
• Illinois Medical Assistance Dental Program (Spanish) DentaQuest
• Long Term Care Services and Information For Couples HFS 3191 
• Long Term Care Services and Information For Couples (Spanish) HFS 3191S 
• Medicaid HFS 591
• Medicaid (Spanish) HFS 591S
  
• Medicaid Payment of Medicare Cost Sharing Expenses (pdf version) HFS 3120
• Medicaid Spend-down HFS 591SP
• Medical Assistance and Third Party Liability (Spanish) HFS 2875S
• Medicare Savings for Qualified Beneficiaries (Spanish) HFS 3757S (pdf)
• Mental Health Crisis Services for Youth HFS 3838
• Money Follows the Person Demonstration HFS 6 (pdf)
• Money Follows the Person Demonstration HFS 6S (Spanish) (pdf)
• Notice Regarding Medicare Cost Sharing (Spanish) HFS 3132S (pdf)
• Property Lien and Estate Claims (Spanish) HFS 3419BS
• Transition Facts HFS 3865
• Transition Facts (Spanish) HFS 3865S
• Using Department on Aging (DoA) Community Care Program (CCP) Services to Meet Spenddown HFS 2538C (pdf)
• Using Department on Aging (DoA) Community Care Program (CCP) Services to Meet Spenddown (Spanish) HFS 2538CS (pdf)