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Form HFS2243 Provider Enrollment Application in the Medical Assistance Program - Illinois
What Is Form HFS2243?
This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. Check the official instructions before completing and submitting the form.
FAQ
Q: What is the HFS2243 Provider Enrollment Application?
A: The HFS2243 Provider Enrollment Application is a form used to enroll healthcare providers in the Medical Assistance Program in Illinois.
Q: Who needs to fill out the HFS2243 form?
A: Healthcare providers who want to enroll in the Medical Assistance Program in Illinois need to fill out the HFS2243 form.
Q: What information is required on the HFS2243 form?
A: The HFS2243 form requires information such as the provider's name, contact information, tax identification number, and details about the healthcare services they provide.
Q: Are there any fees associated with the HFS2243 Provider Enrollment Application?
A: There may be fees associated with the HFS2243 Provider Enrollment Application, depending on the type of healthcare provider and the services they offer. It is best to check the application instructions or contact the Illinois Department of Healthcare and Family Services for more information.
Q: How long does it take to process the HFS2243 application?
A: The processing time for the HFS2243 Provider Enrollment Application can vary. It is recommended to submit the application as early as possible to allow for sufficient processing time.
Q: What happens after submitting the HFS2243 application?
A: After submitting the HFS2243 Provider Enrollment Application, the Illinois Department of Healthcare and Family Services will review the application and determine if the healthcare provider is eligible for enrollment in the Medical Assistance Program.
Form Details:
- Released on July 1, 2009;
- The latest edition provided by the Illinois Department of Healthcare and Family Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form HFS2243 by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.
Download Form HFS2243 Provider Enrollment Application in the Medical Assistance Program - Illinois
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