This is a legal form that was released by the Illinois Department of Central Management 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 Form CMS-138?
A: Form CMS-138 is the Eligibility Certification Statement for the state of Illinois.
Q: Who should fill out Form CMS-138?
A: Form CMS-138 should be filled out by individuals who are applying for or renewing their eligibility for certain healthcare programs in Illinois.
Q: What healthcare programs does Form CMS-138 apply to?
A: Form CMS-138 applies to healthcare programs such as Medicaid and the Children's Health Insurance Program (CHIP) in Illinois.
Q: What information is required on Form CMS-138?
A: Form CMS-138 requires information such as personal details, income information, and household size.
Q: How often do I need to fill out Form CMS-138?
A: You need to fill out Form CMS-138 when you initially apply for healthcare programs, and then renew it annually or as required by the Illinois Department of Healthcare and Family Services.
Q: Are there any fees to fill out and submit Form CMS-138?
A: No, there are no fees to fill out and submit Form CMS-138.
Q: Is Form CMS-138 only for Illinois residents?
A: Yes, Form CMS-138 is specifically for residents of Illinois who are applying for or renewing eligibility for healthcare programs in the state.
Q: Is there a deadline to submit Form CMS-138?
A: The deadline to submit Form CMS-138 may vary, so it's best to check with the Illinois Department of Healthcare and Family Services for specific due dates.
Form Details:
Download a printable version of Form CMS-138 (IL401-0825) by clicking the link below or browse more documents and templates provided by the Illinois Department of Central Management Services.