General Resources
DSCC’s Health Insurance Appeals Tip Sheet
An appeal is when you ask your health insurance company to reconsider their decision. Health insurance plans must tell you why they did not cover services. This Health Insurance Appeals tip sheet from the Division of Specialized Care for Children (DSCC) includes steps for navigating the process of asking your health insurance company to reconsider their decision. It also includes a sample appeal letter.
Health Insurance Appeals Tip Sheet in English
Health Insurance Appeals Tip Sheet in Spanish
DSCC’s Illinois Medicaid Spenddown Tip Sheet
Spenddown is an Illinois Medicaid program that helps people who are over income or have too many assets to be eligible for other Medicaid programs. Individuals or families are responsible for paying for medical services until they meet the spenddown amount. This Division of Specialized Care for Children (DSCC) handout provides information about the different types of spenddown and additional resources.
DSCC’s Illinois Medicaid Spenddown in English
DSCC’s Illinois Medicaid Spenddown in Spanish
DSCC’s IMPACT Guide for Participants and Families
The Division of Specialized Care for Children (DSCC) has created an IMPACT Guide for Participants and Families. The guide provides helpful information for our participants and families using the Illinois Medicaid Program Advanced Cloud Technology (IMPACT) system. It includes:
Contacts for assistance
A list of helpful terms
Information on All Kids/Medicaid transportation benefits
How to enroll in IMPACT (as a Private Transportation Provider)
Information on pre-approval and submitting a claimFor more information, visit the IMPACT Information and Resources page on our website.
DSCC’s Insurance Appeals Calendar
Documentation is very important when appealing a decision made by your health insurance plan. This calendar from from the Division of Specialized Care for Children (DSCC) is one of the tools you can use during the appeals process to help keep track of important dates and documents.
Insurance Appeals Calendar in English
Insurance Appeals Calendar in Spanish
DSCC’s Insurance Appeals Communication Log
Documentation is very important when appealing a decision made by the health insurance plan. This Insurance Appeals Communication Log from the Division of Specialized Care for Children (DSCC) can help you keep track of when you talk to people and what you talked about.
Insurance Appeals Communication Log in English
Insurance Appeals Communication Log in Spanish
DSCC’s Medicaid and Private Insurance Question and Answer Guide
You can have Medicaid and private insurance at the same time. This guide from the Division of Specialized Care for Children (DSCC) provides information about coverage, Medicaid managed care (MCO), updating your private insurance information, billing and who to contact if you need more help.
Medicaid and Private Insurance Q and A Guide in English
Medicaid and Private Insurance Q and A Guide in Spanish
DSCC’s Medicare Fact Sheet
Medicare is federal health insurance run by the Social Security Administration. This fact sheet from the Division of Specialized Care for Children (DSCC) explains the program’s eligibility and how to enroll.
It also explains the Medicare Savings Program, the Extra Help Program and Medicare coverage and costs.
Medicare Fact Sheet in English
Medicare Fact Sheet in SpanishDSCC’s Private Health Insurance Chart
Private insurance plans are all different. Understanding how they are different can help you use your health insurance. This private health insurance chart from the Division of Specialized Care for Children (DSCC) is a guide for most plans. You should always check the rules of your insurance plan.
DSCC’s Private Health Insurance Chart in English
DSCC’s Private Health Insurance Chart in Spanish
DSCC’s Transdev Transportation Prior Approval Tip Sheet
Medicaid will pay for transportation to and from appointments that Medicaid covers. For example, Medicaid will pay the cost for a trip to see a specialist.
This tip sheet from the Division of Specialized Care for Children (DSCC) explains how to use Transdev to submit prior approvals for transportation.
DSCC’s Vehicle Modification Tip Sheet for MFTD Waiver Families
Vehicle modifications are an available service through the Home and Community-Based Services Waiver for Medically Fragile Technology Dependent Children (commonly called the MFTD waiver). This tip sheet from the Division of Specialized Care for Children (DSCC) includes information on the type of vehicle modifications that may be covered and the steps involved in the process.
Vehicle Modification Tip Sheet in English
Vehicle Modification Tip Sheet in Spanish