Ill. Admin. Code tit. 89, § 120.400 - Twelve Month Eligibility for Persons under Age 19
a) Coverage under the Department's Medical
Assistance Program shall be provided for all eligible persons under 19 years of
age for a 12 month period, regardless of any changes in income that may occur
during that period, except as provided in subsections (c) and (d) of this
Section. Provisions under this Section are not applicable to persons under age
19 who do not experience any changes in circumstances and continue to meet all
medical assistance eligibility requirements.
b) The 12 month period shall begin the later
of:
1) the month in which initial eligibility
is determined; or
2) the month in
which eligibility has most recently been determined.
c) Eligibility shall end when the earliest of
the following occurs:
1) the 12 month period
ends; or
2) the person attains age
19; or
3) the person is no longer a
resident of Illinois; or
4) the
person is incarcerated; this provision shall not apply effective January 1,
2012; or
5) the person dies;
or
6) the Department determines
that, at the time of application, incorrect or inaccurate information was
provided that affected the eligibility determination; or
7) the caretaker relative requests
termination; or
8) the child is
also the caretaker relative of a child receiving benefits under the Public Aid
Code and fails to cooperate with the support enforcement for that child as
required by 89 Ill. Adm. Code
160.30;
or
9) the Department determines
that the child was incorrectly determined to be eligible.
d) Twelve month eligibility under this
Section shall not apply to any person who:
1)
has only been determined to be presumptively eligible; or
2) has a spenddown; or
3) has only been determined eligible for
emergency medical assistance under Section
120.310(b)(3).
Notes
Amended at 35 Ill. Reg. 379, effective December 27, 2010
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.