Get Illinois Hfs 2243 Form

Get Illinois Hfs 2243 Form

The Illinois HFS 2243 form is a crucial document used for provider enrollment in the Illinois Medical Assistance Program. This application is essential for healthcare providers looking to participate in Medicaid services, ensuring they meet all necessary requirements. Completing this form accurately is vital, as any incomplete fields may lead to delays or rejection of the application.

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The Illinois HFS 2243 form plays a crucial role in the enrollment process for healthcare providers wishing to participate in the Illinois Medical Assistance Program. This comprehensive application requires providers to provide a range of information, including their name, type, and contact details. It is essential that all fields are filled out accurately; incomplete applications may be returned, causing delays in enrollment. The form includes sections for service specialties, former participation details, and additional National Provider Identification numbers. Providers must also disclose their fiscal information and certifications, ensuring compliance with federal and state laws. Moreover, the form emphasizes the importance of honesty, as any false information could lead to serious consequences, including denial of participation. Understanding the nuances of the HFS 2243 is vital for providers navigating the complexities of healthcare enrollment in Illinois.

Document Breakdown

Fact Name Details
Purpose The Illinois HFS 2243 form is a Provider Enrollment Application for the Illinois Medical Assistance Program.
Completion Requirement All fields must be completed. Inapplicable fields should be marked as "NONE" to avoid application rejection.
Provider Types Providers can apply for new enrollment, re-enrollment, name changes, or reinstatement through this form.
Contact Information Applicants must provide their primary office address, telephone, fax, and email address for communication.
National Provider Identification The form requires the National Provider Identification (NPI) number, which is essential for billing and identification purposes.
Certification Requirement Applicants must certify that the information provided is accurate and that they comply with all relevant federal and state laws.
Governing Laws This form is governed by the laws and regulations of the Illinois Department of Healthcare and Family Services.
Electronic Billing Option Providers can indicate whether they will be using electronic billing and must provide the software vendor's name if applicable.

Common PDF Forms

Misconceptions

Understanding the Illinois HFS 2243 form is crucial for healthcare providers seeking to enroll in the Illinois Medical Assistance Program. However, several misconceptions can lead to confusion. Here are four common misconceptions:

  • Misconception 1: The form can be submitted with incomplete information.
  • This is not true. All fields in the HFS 2243 form must be completed. If a particular field does not apply, the applicant should write "NONE." Submitting an incomplete application may result in delays or rejection.

  • Misconception 2: Only new providers need to fill out this form.
  • In fact, the HFS 2243 form is for various purposes, including re-enrollment and name changes. Existing providers may need to complete the form to update their information or reinstate their participation in the program.

  • Misconception 3: The form can be filled out using a highlighter.
  • Using a highlighter on the HFS 2243 form is discouraged. It can obscure important information and lead to processing issues. It's best to type or print legibly without any highlighting.

  • Misconception 4: Submission of the form guarantees approval for participation.
  • Submitting the HFS 2243 form does not guarantee that a provider will be approved for participation in the Medical Assistance Program. The application will be reviewed, and compliance with federal and state laws is necessary for approval.

Example - Illinois Hfs 2243 Form

State of Illinois

Department of Healthcare and Family Services

PROVIDER ENROLLMENT APPLICATION

ILLINOIS MEDICAL ASSISTANCE PROGRAM

(Must be Typed or Printed Legible and Do Not Use Highlighter On Any Documents.)

All fields must be completed or the application may be returned. If a field is Non-Applicable, the applicant should type or print NONE.

SECTION A: PROVIDER

1.New Enrollment

3.Provider Name

Re-Enrollment

Name Change

Reinstatement Request

2. Provider Type

4.Primary Office Address

5.City

6. County

7.State

8. Zip Code

9. Telephone:

10. Fax:

11.

E-mail Address (3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

National Provider Identification # - NPI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.

SSN

 

 

 

15.

License/Certification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.

Medicare

 

 

18.

Organization

 

 

Part A#

 

 

 

 

Type

 

Report Additional

NPI's In Section D13. FEIN

 

 

 

16. DEA

 

 

 

 

 

 

 

19. Control of

 

20. Fiscal

 

 

 

 

 

Facility

 

 

Year

 

 

21. CLIA #

SECTION B: SERVICE/SPECIALTY

22.Category of Service

23.Provider Specialty: Primary Specialty

24.Physician UPIN No.

Secondary

Specialties

25.OBRA Qualifications (Physicians Only)

26. Hospital Admitting Privilege: (Physicians Only)

 

Hospital Name

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospital Name

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28. Pharmacist

 

 

 

 

 

 

 

 

 

 

 

27.

Pharmacy

 

 

 

 

 

 

 

 

29.

License #

 

 

 

 

Location

 

 

 

In Charge

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30.

Electronic Billing? 31. If Yes, Pharmacy

 

 

 

 

 

32. Pharmacy

 

 

 

 

 

 

 

 

 

 

Yes

No

 

Software Vendor Name

 

 

 

 

 

NCPDP#

 

 

33.

Transportation: Taxi

 

 

 

34. Taxi

 

 

 

35.

Medicar: Hydraulic

 

 

 

 

 

 

 

 

 

 

 

 

Manual Lift or Ramp Yes

 

Base/Meter/Flag Rate

 

 

Mileage Rate

 

 

 

 

36.

Long Term Care

 

 

 

 

37. Long Term Care

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Medical Bed Capacity

 

 

Medicare Fiscal Intermediary

 

 

 

 

 

 

38.Long Term Care Building ID Code

No

HFS 2243 (R-7-09)

Page 1 of 2

SECTION C: FORMER PARTICIPATION

39. Change of Ownership

Yes

40. Former Provider Number

No

Effective Date

Former Provider Name

SECTION D: ADDITIONAL NPI - National Provider Identification #

41. NPI

NPI

SECTION E: PAYEE INFORMATION

NPI

NPI

NPI

NPI

42. Name

44.DBA

45.Street Address

46.City

50.SSN/FEIN

52.Medicare Part B#

43. Telephone:

47. State

 

 

 

48. Zip Code

 

 

 

 

49. TIN Type Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

51. Billing Provider/Pay To NPI #

 

 

 

 

 

53. PIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

54. DMERC#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

DBA

Street Address

Telephone:

City

 

 

 

 

State

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SSN/FEIN

 

 

 

 

 

 

Billing Provider/Pay To NPI #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Medicare Part B#

 

PIN

 

 

 

 

 

DMERC#

 

 

 

 

 

 

 

 

 

 

 

 

SECTION F: CERTIFICATION/SIGNATURE

 

 

 

 

 

 

 

 

 

 

TIN Type Code

I understand that knowingly falsifying or willfully withholding information may be cause for the denial or termination of participation in the Medical Assistance Program and such conduct may be prosecuted under applicable Federal and State laws..

Under penalties of perjury, I hereby certify that all of the information provided in this application process is true, correct and complete and that the enrolling provider is in compliance with all applicable federal and state laws and regulations. I further certify that neither I, nor any of the following provider's employees, partners, officers, or shareholders owning at least five percent (5%) of said provider are currently barred, suspended, terminated, voluntarily withdrawn as part of a settlement agreement, or otherwise excluded from participation in the Medicaid or Medicare programs, nor are any of the above currently under sanction for, or serving a sentence for conviction of any Medicaid or Medicare program violations. I further certify that none of the above are currently sanctioned by any federal agency for any reason. I authorize the Department of Healthcare and Family Services, to verify the information provided on this application with other state and federal agencies. I further certify that I will review and comply with the Department's policies, rules and regulations including but not limited to those found at the following websites:

Illinois HFS website address: http://www.hfs.illinois.gov/

Illinois HFS Handbook updates are available: http://www.hfs.illinois.gov/handbooks

Illinois HFS Laws and Rule Regulations: http://www.hfs.illinois.gov/lawsrules/index.html

Signature:

Printed name of person signing above

Check this box if you want a provider handbook mailed

Date

HFS 2243 (R-7-09)

Page 2 of 2

Dos and Don'ts

When filling out the Illinois HFS 2243 form, it is important to follow specific guidelines to ensure the application is processed smoothly. Here are four things to do and not to do:

  • Do complete all fields on the form. Leaving any section blank may result in the application being returned.
  • Do use clear and legible typing or printing. This helps avoid any misunderstandings during processing.
  • Do indicate "NONE" for any fields that do not apply to your situation. This shows that you have considered each section.
  • Do review the form for accuracy before submission. Double-checking can prevent errors that may delay processing.
  • Don't use highlighters on the form. Highlighter ink can interfere with scanning and processing.
  • Don't forget to sign and date the application. An unsigned form may be deemed incomplete.
  • Don't omit your National Provider Identification (NPI) number. This is a crucial piece of information for your enrollment.
  • Don't assume that incomplete information will be filled in later. Ensure that every required field is filled out correctly.

Illinois Hfs 2243: Usage Instruction

Completing the Illinois HFS 2243 form requires careful attention to detail. Each section must be filled out accurately to ensure the application is processed without delays. Follow the steps below to successfully complete the form.

  1. Obtain the Form: Download or print the Illinois HFS 2243 form from the official website.
  2. Type or Print Legibly: Ensure all information is typed or printed clearly. Do not use highlighters.
  3. Section A: Provider Information:
    • Indicate whether this is a new enrollment, re-enrollment, name change, or reinstatement request.
    • Enter the provider's name and type.
    • Fill in the primary office address, including city, county, state, and zip code.
    • Provide the telephone number, fax number, and email address.
    • Enter the National Provider Identification number (NPI), Social Security Number (SSN), and any relevant licenses or certifications.
    • Complete information regarding Medicare, including any additional NPI numbers in Section D.
    • Fill in the Federal Employer Identification Number (FEIN), Drug Enforcement Administration (DEA) number, control facility information, fiscal year, and Clinical Laboratory Improvement Amendments (CLIA) number.
  4. Section B: Service/Specialty:
    • Specify the category of service and primary specialty.
    • Provide the UPIN number for physicians and list any secondary specialties.
    • Complete OBRA qualifications and hospital admitting privileges if applicable.
    • For pharmacists, include the pharmacy license number and location in charge.
    • Indicate if electronic billing is used and provide the software vendor name and NCPDP number.
    • Complete transportation details if applicable, including taxi and medicare information.
    • Fill in long-term care information, including medical bed capacity and fiscal intermediary details.
  5. Section C: Former Participation:
    • Indicate if there has been a change of ownership and provide the former provider number and name.
  6. Section D: Additional NPI:
    • List any additional NPI numbers.
  7. Section E: Payee Information:
    • Fill in the name, DBA (Doing Business As), street address, city, state, and zip code for the payee.
    • Provide the telephone number, SSN/FEIN, Medicare Part B number, and billing provider NPI.
    • Complete any additional information requested for the billing provider.
  8. Section F: Certification/Signature:
    • Read the certification statement carefully.
    • Sign and date the form, and print the name of the person signing.

After completing the form, ensure all sections are filled out correctly. Double-check for any missing information before submitting it to the Illinois Department of Healthcare and Family Services. This will help prevent delays in processing your application.