COVID-19 Medicaid Enrollment Guidelines for Assistors

April 29, 2020

The Illinois Dept. of Healthcare and Family Service (HFS) has issued temporary instructions for agencies certified by the state or federal government to provide enrollment assistance to individuals in need of medical benefits, including Certified Application Counselor entities and Medicaid Presumptive Eligibility providers.  Due to the COVID-19 public health emergency, certified agencies may provide telephonic application assistance, rather than in-person assistance. The assistor must obtain verbal consent from the applicant and submit an ABE Assister Consent Form for Assistance by Phone with the application for benefits. This process does not apply to hospitals and other providers who submit applications on behalf of a patient as his/her authorized representative.

As a reminder, the only instance in which hospitals can submit applications on behalf of patients is by obtaining permission as an authorized representative.