This is a legal form that was released by the Illinois Department of Healthcare and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is HFS1432B?
A: HFS1432B is a Long Term Care Provider Agreement for Supportive Living Facility.
Q: What is a Supportive Living Facility?
A: A Supportive Living Facility is a residential setting that provides housing and supportive services for individuals who need help with activities of daily living.
Q: What is Provider Type 28?
A: Provider Type 28 refers to Supportive Living Facilities in Illinois.
Q: What is the purpose of HFS1432B?
A: HFS1432B is used to establish a written agreement between the supportive living facility and the Illinois Department of Healthcare and Family Services (HFS).
Q: Who is involved in the agreement?
A: The agreement is between the supportive living facility and HFS, but it may also involve the resident and their legal representative.
Q: What does the agreement cover?
A: The agreement outlines the responsibilities and obligations of the supportive living facility, including the provision of services and payment rates.
Q: Is HFS1432B specific to Illinois?
A: Yes, HFS1432B is specific to supportive living facilities in Illinois.
Form Details:
Download a fillable version of Form HFS1432B by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.