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IllinoisOffice of Child Support Enforcement Administration for Children & Families U.S. Department of Health and Human ServicesChanging a Child Support Order in Your State The information below applies
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Illinois - ACF HHS stands for Illinois Department of Healthcare and Family Services.
Healthcare providers in Illinois who provide services to Medicaid beneficiaries are required to file the Illinois - ACF HHS form.
The Illinois - ACF HHS form can be filled out electronically on the Illinois Department of Healthcare and Family Services website or submitted through the mail.
The purpose of the Illinois - ACD HHS form is to report information about healthcare services provided to Medicaid beneficiaries in Illinois.
Information such as the type of services provided, dates of service, and payment received must be reported on the Illinois - ACF HHS form.
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