Ill. HFS Handbook for Hospice Agencies, Topic K-201.4

The information carried in the Department’s files for participating providers must be

maintained on a current basis. The provider and the Department share responsibility

for keeping the file updated.

Provider Responsibility

The information contained on the Provider Information Sheet is the same as in the

Department’s files. Each time the provider receives a Provider Information Sheet, it

is to be reviewed carefully for accuracy. The Provider Information Sheet contains

information to be used by the provider in the preparation of claims. Any inaccuracies

found must be corrected and the Department notified immediately via IMPACT.

Failure of a provider to properly notify the Department of corrections or changes may

cause an interruption in participation and payments.

Department Responsibility

When there is a change in a provider's enrollment status or the provider submits a

change the Department will generate an updated Provider Information Sheet

reflecting the change and the effective date of the change. The updated sheet will be

sent to the provider and to all payees listed if the payee address is different from the

provider address.