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DCFS / DHFS Medical Card

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Serves as a health insurance card for youth in DCFS care.
 
Eligibility Requirements:
  • The card is valid for one month and is mailed monthly to same address as financial assistance for the youth.
  • The card goes with the youth if a change in placement occurs.
  • A medical card is provided to each child or youth who is in the legal custody of DCFS and is currently placed in substitute care

In addition, those who meet the following conditions receive cards:
  • In legal custody of DCFS and placed in certain living arrangements on the last day in substitute care: may receive a medical extension for a year when returning to home of parent or upon closure of youth's case
  • Age 18 when returned to home of parent or upon case closure: eligible for medical extension up to age 19
  • Parenting youth in legal custody of DCFS and living in substitute care: receives card for each of youth's children residing with youth
 
Benefits:
  • Medical and dental exams
  • Immunizations
  • Prescriptions
  • Hospital care
  • Coverage of some other health services and expenses
 
Other Consideratiions:
  • Health care providers should never charge a youth in DCFS custody a co-pay; if this occurs, call the Medical Card Hotline (below).
  • Any changes of address must be reported so that youth can continue to receive their medical cards.
  • The card can only be used with providers who are enrolled with DHFS and who accept the card and DHFS payment as payment in full.
  • Out-of-state providers must be enrolled in DHFS and accept the medical card and DHFS payment as payment in full.
  • Some uses of card may require prior approval. Examples include prescriptions for "non-preferred" drugs and some durable medical equipment and supplies, such as bath lifts, wheelchairs, and oxygen.
  • Non-emergency medical transportation requires prior approval, arranged through the DCFS regional medical liaison. Service may only be furnished by providers enrolled with DHFS who accept the medical card and DHFS payment as payment in full.
 
Contact:
Medical Card Hotline
800-228-6533
8:30 AM-4:30 PM
 
Make sure to call the Medical Card Hotline if:
  • A caregiver does not receive a medical card for a youth in his or her care
  • A medical card extension is being requested
  • The address on the card needs to be changed or the youth's name and / or birth date is incorrect on the card
  • A provider is attempting to charge a youth in DCFS custody a co-pay
  • Health care providers may call the hotline to verify the correct recipient number and periods of eligibility for a youth they are serving.