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ACES$ Illinois fax number

(570) 558-5570

Service Authorizations (SA)

Used for: Submitting Service Authorization (SA) forms for Medicaid waiver budgets and related changes; SA submissions may be required to authorize budget updates and PSW payroll.

Fax destination details

Department
Service Authorizations (SA)
Purpose
Submitting Service Authorization (SA) forms for Medicaid waiver budgets and related changes; SA submissions may be required to authorize budget updates and PSW payroll.
Form
Service Authorization Form — ACES Illinois Service Authorization Form
Address
2960 Baker Drive, Springfield, IL 62703
Voice phone
1-877-223-7781

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  • Check the organization website or call its main line for the current fax number.
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Submit the SA by fax to 570-558-5570 (or 217-528-9849 for Springfield address) and/or via budgetsIL@mycil.org. Include consumer and PSW information, start/end dates, budget details, and required signatures per the ACES Illinois SA form.

Official form instructions are published as a downloadable file on the organization's website.

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