Ill. Admin. Code tit. 89 § 1200.160

Current through Register Vol. 48, No. 52, December 27, 2024

Section 1200.160 - Eligibility Redeterminations and Investigations

a) Redeterminations

1) DSCC shall send a notice to LRAs at least 60 days prior to the end of the period of eligibility that informs the LRA of the requirements for continued eligibility.

2) If the requirements for continued eligibility are not fulfilled by the deadline established in the notice, a Notice of Determination advising of the cancellation shall be issued to the recipient child pursuant to the requirements of Section 1200.180. Coverage shall end on the last day of the eligibility period.

3) A recipient child's eligibility may be reinstated without requiring a new application if the requirements for continued eligibility are fulfilled within 90 days following the last date of coverage.

b) Investigations

1) Eligibility may be reviewed based on information known, reported or discovered or failure to meet any requirements of this Part.

2) If eligibility is reviewed, supplemental information, including interviews, may be requested by DSCC to determine continued eligibility.

3) The LRA shall submit the supplemental information no later than 45 days after the dated DSCC written notice or the date specified in the DSCC written notice, whichever is later. The requirements of this subsection (b)(3) may be waived for good cause shown.

4) Failure to submit the supplemental information within the required time frame may adversely impact eligibility for DSCC Program benefits.

5) DSCC shall advise the LRA of any adverse eligibility determinations made pursuant to this subsection (b) in accordance with the Notice of Determination requirements of Section 1200.180.

c) Reapplication

Nothing in this Section shall prevent an LRA from reapplying for DSCC Program benefits at any time.

Ill. Admin. Code tit. 89, § 1200.160

Adopted at 42 Ill. Reg. 15460, effective 10/1/2018