PDF
Word
Form HFS1593 Notification to Hfs of Illinois Medicaid Hospice Benefit - Continuing Benefit Period and Recertification of Terminal Illness - Illinois
What Is Form HFS1593?
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 the Form HFS1593?
A: Form HFS1593 is the notification form to inform HFS (Illinois Department of Healthcare and Family Services) about the Medicaid hospice benefit in Illinois.
Q: What is the purpose of Form HFS1593?
A: The purpose of Form HFS1593 is to provide notification to HFS regarding the continuing benefit period and recertification of terminal illness for Medicaid hospice beneficiaries in Illinois.
Q: Who is required to complete Form HFS1593?
A: Form HFS1593 is completed by the hospice provider and signed by the physician or nurse practitioner in charge of the care.
Q: What information is required on Form HFS1593?
A: Form HFS1593 requires information such as the beneficiary's name, date of admission to hospice care, diagnosis, certification period, and recertification of terminal illness.
Q: Is Form HFS1593 mandatory?
A: Yes, Form HFS1593 is mandatory for hospice providers to notify HFS about the Medicaid hospice benefit in Illinois.
Q: Are there any fees associated with submitting Form HFS1593?
A: No, there are no fees associated with submitting Form HFS1593.
Q: What should I do if there are changes or updates to the beneficiary's information?
A: If there are changes or updates to the beneficiary's information, the hospice provider should submit an updated Form HFS1593 to HFS.
Q: Can Form HFS1593 be submitted electronically?
A: Yes, Form HFS1593 can be submitted electronically or by mail.
Q: Is there a deadline for submitting Form HFS1593?
A: Yes, Form HFS1593 should be submitted to HFS within 5 working days of the start of the continuing benefit period or recertification of terminal illness.
Form Details:
- Released on February 1, 2016;
- 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 HFS1593 by clicking the link below or browse more documents and templates provided by the Illinois Department of Healthcare and Family Services.
