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This version of the form is not currently in use and is provided for reference only. Download this version of
Form HFS1446
for the current year.
Form HFS1446 Long Term Care (Snf / Icf) Provider Monthly Assessment Report - Illinois
What Is Form HFS1446?
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.
FAQ
Q: What is Form HFS1446 Long Term Care (SNF/ICF) Provider Monthly Assessment Report?
A: Form HFS1446 is a monthly assessment report for long-term care providers in Illinois, specifically for skilled nursing facilities (SNFs) and intermediate care facilities (ICFs).
Q: Who needs to fill out Form HFS1446?
A: Long-term care providers in Illinois, including SNFs and ICFs, are required to fill out Form HFS1446.
Q: What is the purpose of Form HFS1446?
A: The purpose of Form HFS1446 is to provide a monthly assessment of the care provided by long-term care facilities in Illinois.
Q: What information is required on Form HFS1446?
A: Form HFS1446 requires the provider to provide detailed information about the residents, including demographics, medical conditions, and services provided.
Q: When is Form HFS1446 due?
A: Form HFS1446 is due on a monthly basis, typically at the end of each month.
Q: Are there any penalties for not submitting Form HFS1446?
A: Failure to submit Form HFS1446 or submitting incomplete or inaccurate information may result in penalties, such as loss of funding or other sanctions.
Q: Is Form HFS1446 specific to Illinois?
A: Yes, Form HFS1446 is specific to long-term care providers in Illinois.
Q: Can I submit Form HFS1446 electronically?
A: Yes, long-term care providers in Illinois have the option to submit Form HFS1446 electronically, in addition to paper submissions.
Q: Who should I contact if I have questions or need assistance with Form HFS1446?
A: For questions or assistance with Form HFS1446, you can contact the Illinois Department of Healthcare and Family Services (HFS) or reach out to your facility's designated contact for long-term care reporting.
Form Details:
- Released on June 1, 2021;
- 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 HFS1446 by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.
