Medical Programs Brochures

Children

• 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)

• Healthy Kids Checkups HFS 1123

• Healthy Kids Checkups (Spanish) HFS 1123S

• Healthy Kids Annual Notice HFS 1802

• Healthy Kids Annual Notice (Spanish) HFS 1802S

• Mental Health Crisis Services for Youth HFS 3838

• Transition Facts HFS 3865

• Transition Facts (Spanish) HFS 3865S

Long Term Care

• Hotline Information and Resident Rights for Residents of Supportive Living Facilities HFS 3777

• Hotline Information & Residents Rights (Spanish) HFS 3777S

• Long Term Care Services and Information For Couples HFS 3191 

• Long Term Care Services and Information For Couples (Spanish) HFS 3191S 

Dental

• Illinois Medical Assistance Dental Program (English) DentaQuest

• Illinois Medical Assistance Dental Program (Spanish) DentaQuest

General Information about Medical Enrollment

• Medicaid HFS 591

• Medicaid (Spanish) HFS 591S

• Medicaid Spend-down HFS 591SP

• Medicaid Spend-down (Spanish) HFS 591SPS

• Medical Assistance and Third Party Liability HFS 2875

• Medical Assistance and Third Party Liability (Spanish) HFS 2875S

Seniors and Persons with Disabilities

• Medicare Savings for Qualified Beneficiaries Brochure HFS 3757 (pdf)

• Medicare Savings for Qualified Beneficiaries Brochure (Spanish) HFS 3757S (Spanish) (pdf)

•  Medicaid Payment of Medicare Cost Sharing Expenses HFS 3120 (pdf)

• Medicaid Payment of Medicare Cost Sharing Expenses HFS 3120 (Spanish) (pdf)

• Notice Regarding Medicare Cost Sharing HFS 3132 (pdf)

• Notice Regarding Medicare Cost Sharing (Spanish) HFS 3132S  (pdf)

• Property Lien and Estate Claims HFS 3419B

• Property Lien and Estate Claims (Spanish) HFS 3419BS

• Special Information for Persons Receiving/Applying for Community Care Program Services Through the Department on Aging HFS 2538A (pdf)

• Special Information for Persons Receiving/Applying for Community Care Program Services Through the Department on Aging (Spanish) HFS 2538AS (pdf)

• 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)

Non-Citizens

• Citizenship Documents and Your Medical Benefits HFS 3859D (pdf)

• Citizenship Documents and Your Medical Benefits HFS 3859DS(Spanish) (pdf)

• Coverage for Non-Citizens (age 55-64) HFS 3163B (pdf)