Illinois Administrative Code

Section 102.25 Grievance Rights of Clients a) When clients feel that they have not been treated with courtesy, consideration or respect by a Department employee, they or their representative may file a written grievance. The client may file a written grievance in any Department o…

Section 102.250 Release of Liens a) The Department shall release a lien when: 1) The Department receives full repayment of the assistance granted subject to the lien; 2) A bond is filed, with a surety or sureties acceptable to the Department, which guarantees payment of the amoun…

Section 102.260 Personal Injury Claims a) Clients who suffer a personal injury and have a potential for recovery of damages as a result of the type or severity of the injury, must report such injuries to the Department and take action to collect any damages which may be due. b) T…

Section 102.270 Convictions of Fraud – Eligibility a) Multiple Convictions Any person who has been found guilty of a criminal violation of Article VIIIA of the Illinois Public Aid Code [305 ILCS 5/Art. VIIIA] or of any law of the United States or another state which is substantia…

Section 102.280 Single Conviction of Fraud – Administrative Review Board Except as provided in Section 102.270, any person who has been found guilty of a criminal violation of Article VIIIA of the Illinois Public Aid Code [305 ILCS 5/Art. VIIIA] or of any law of the United States…

Section 102.30 Confidentiality of Case Information a) For the protection of clients, any information about a client or case is confidential and shall be used only for purposes directly related to the administration of the assistance programs. The following shall be considered as …

Section 102.35 Case Records a) The case record is a business record established by the Department and it shall constitute the Department's official record concerning clients and applicants. It consists of all information obtained by the Department to determine a client's or appli…

Section 102.40 Freedom of Choice An individual receiving medical assistance shall be entitled to a choice of participating providers of covered goods and services. (Source: Amended at 38 Ill. Reg. 5944, effective February 26, 2014)

Section 102.50 Reporting Change of Circumstances a) It is the responsibility of the client to report any change in circumstances, household composition or receipt of income or assets which might affect the client's assistance. This information shall be reported to the local offic…

Section 102.60 Referral Requirements A client shall have the right to receive information about programs and services of the Department or the local GA office. The client also shall have the right to be referred to other agencies for appropriate programs and services. The client …

Section 102.63 Reporting Child Abuse/Neglect a) As mandated by the Abused and Neglected Child Report Act, Department staff are required to immediately report to the Department of Children and Family Services suspected abuse or neglect. A Report is to be filed when there is reason…

Section 102.65 Abandoned Newborn Infant a) Effective January 1, 2024, in compliance with the Abandoned Newborn Infant Protection Act [325 ILCS 2] and in coordination with 89 Ill. Adm. Code 300.180, all hospitals shall complete, based on available information, and submit a medical…

Section 102.66 Suitability of Home a) The Department is required to consider the suitability of the home of a child in a family receiving financial assistance in relation to the standards of care and health fixed by the laws of the state (Section 4 of the "Abused and Neglected Ch…

Section 102.70 Notice to Client a) Every applicant for assistance shall be sent or given a written notice of disposition of the application. b) Every recipient for assistance shall be sent or given a written notice whenever assistance is reduced or discontinued. c) Notices denyin…

Section 102.80 Right to Appeal a) Any individual who applies for or receives financial or medical assistance, social services or food stamps benefits shall have the right to appeal any of the following: 1) Refusal to accept an application or reapplication; 2) Failure to act on an…

Section 102.81 Continuation of Assistance Pending Appeal a) If an appeal is initiated by the date a reduction or discontinuance will occur or within ten (10) calendar days of the date of the adequate notice, assistance shall be continued at the level in effect prior to the propos…

Section 102.82 Time Limit for Filing an Appeal a) The right of appeal (except for food stamp cases) must be exercised within 60 calendar days of the date of the Department's action to notify the client. All written notifications to clients are to bear the same date as the date of…

Section 102.83 Examining Department Records a) At any time during the regular office hours of the Department, the Department shall permit a client (as defined at 89 Ill. Adm. Code 101.20) and/or a client's authorized representative to examine the client's case record(s) in the pr…

Section 102.84 Child Care a) The Department shall authorize payment of child care expenses, if needed, to allow an AFDC or AABD (not MANG) client (active, pending, denied, or cancelled case status) to attend an appeal hearing. (See 89 Ill. Adm. Code 112.308 for child care rates.)…

Section 102.90 Voluntary Repayment of Assistance a) A recipient or former recipient of assistance may voluntarily repay all or part of the assistance provided. b) A responsible relative or other person may, in behalf of a recipient or former recipient, repay all or part of the as…

Section 103.1 Incorporation By Reference Any rules or regulations of an agency of the United States or of a nationally recognized organization or association that are incorporated by reference in this Part are incorporated as of the date specified, and do not include any later am…

Section 103.10 Support from Responsible Relatives a) The Department shall seek to obtain support for recipients from legally responsible individuals and shall seek the enforcement of support obligations with the following exception: the Department shall not seek to obtain support…

Section 103.20 Determination Of Ability To Support a) Responsible relatives living apart from the recipient/assistance unit. 1) For responsible relatives living apart from the recipient/assistance unit: A responsible relative is liable for all assistance provided to or in behalf …

Section 103.25 Establishment of Support Obligations Except in Title IV-D cases where support obligations shall be established in accordance with 89 Illinois Administrative Code 160.60, the Department shall establish a responsible relative's obligation to support in the following …

Section 103.30 Redetermination Of Ability To Support The Department will redetermine and, when indicated, adjust the amount of a support obligation on the basis of Table A if: a) The relative has sustained a significant reduction in income since the support obligation was determi…

Section 103.35 Enforcement of Administrative Support Orders If the legally responsible relative has failed for ninety (90) days after the effective date of the support order to make regular support payments according to the support order and a balance due is outstanding, the Depa…

Section 103.40 Failure or Refusal to Provide Information Regarding Ability to Support A responsible relative who refuses or fails upon request to provide the Department with income or assets information necessary to make a determination of ability to support shall remain liable f…

Section 103.50 Modification Or Release From Support Order The responsible relative has the right to petition for modification of or release from the Department's order requiring the relative to provide support. The petition must be filed in writing with the Department no later th…

Section 103.TABLE A Standard For Determining Responsible Relative Liability Responsible Relative Liability Number in Family (including recipient) *Gross Annual Income Range 2 3 4 5 6 7 or more $ 7,000 $ 7,500 $ 5 7,501 8,000 10 8,001 8,500 15 8,501 9,000 20 $ 5 9,001 9,500 25 10 …

Section 110.1 Incorporation By Reference Any rules or regulations of an agency of the United States or of a nationally recognized organization or association that are incorporated by reference in this Part are incorporated as of the date specified, and do not include any later am…

Section 110.10 Application for Medical Assistance The provisions of this Section are effective October 1, 2013. a) An application is: 1) a signed request for medical assistance in a form approved by the Department of Healthcare and Family Services ("Department") thathas been comp…

Section 110.15 Consideration of Eligibility Upon receipt of an application for medical assistance, the Department shall consider the applicant's eligibility for all forms of medical assistance, except that the Department shall not consider the applicant's eligibility for any prog…

Section 110.20 Time Limitations On the Disposition Of An Application a) Within 10 days after a decision is made on an application, the Department shall inform the applicant of the decision regarding the applicant's eligibility for medical assistance in a written notice as require…

Section 110.30 Approval of An Application and Initial Authorization of Financial Assistance a) Financial assistance (for Aid to the Aged, Blind or Disabled, Interim Assistance and Aid to Families with Dependent Children) shall be authorized effective from the earlier of: 1) The d…

Section 110.32 Initial Authorization of Medical Assistance (MAG) (Repealed) (Source: Repealed at 38 Ill. Reg. 5954, effective February 26, 2014)

Section 110.34 Approval of An Application and Initial Authorization of Medical Assistance Authorization of medical assistance shall be effective: a) The month of application, providing the applicant was eligible in that month; or b) The month of initial eligibility subsequent to …

Section 110.36 Initial Authorization of General Assistance – Medical (Repealed) (Source: Repealed at 37 Ill. Reg. 10197, effective June 27, 2013)

Section 110.38 General Assistance and Aid to the Medically Indigent Special Approval Provisions (Repealed) (Source: Repealed at 37 Ill. Reg. 10197, effective June 27, 2013)

Section 110.40 Denial of An Application a) An application for medical assistance shall be denied if it is established that the applicant does not meet one or more of the eligibility requirements or if the applicant chooses to withdraw the application. b) An application for medica…

Section 110.5 Medical Assistance Application Process An individual will be able to apply for Medical Assistance for himself or herself and/or others, as allowed in this Part, using any of the following methods: a) Apply by sending an application to an address specified by the Dep…

Section 115.1 Incorporation By Reference Any rules or regulations of an agency of the United States or of a nationally recognized organization or association that are incorporated by reference in this Part are incorporated as of the date specified, and do not include any later am…

Section 115.10 General Provisions a) The Department administers the Refugee Resettlement Program (RRP) and the Repatriate Program in Illinois. These programs are fully funded by grants provided by the federal government. The administration and authorization of assistance under an…

Section 115.20 The Cuban Phasedown Program (Repealed) (Source: Repealed at 7 Ill. Reg. 16109, effective November 22, 1983)

Section 115.30 The Refugee Resettlement Program a) The Refugee Resettlement Program (RRP) provides for the authorization of assistance (financial and medical or medical only) for eligible needy refugees and asylees from any nation, for Cuban/Haitian Entrants, and for certain Amer…

Section 115.32 Refugee Resettlement Program: Application for Assistance a) As part of the regular process of determining a refugee's eligibility for assistance, the Department shall contact the Voluntary Sponsoring Agency (e.g., Catholic Charities, World Relief, etc.) or its loca…

Section 115.33 Refugee Resettlement Program: Furnishing of Social Security Numbers To be eligible for RRP financial assistance, each individual must furnish the Department his/her Social Security Number (SSN). If any individual has more than one SSN, the individual must furnish a…

Section 115.34 Refugee Resettlement Program: Work Registration/ Participation Requirements a) As a condition of eligibility for refugee cash assistance, all nonexempt adult refugees under age 60 must register for employment with the Refugee Job Placement Agency if there is one in…

Section 115.36 Refugee Resettlement Program: Individuals Exempt From Mandatory Work Registration/Participation Requirements An individual is exempt from work registration/participation requirements when that individual is: a) a child in the case; b) a person who is ill, incapacit…

Section 115.37 Refugee Resettlement Program: Counseling (Repealed) (Source: Repealed at 9 Ill. Reg. 2296, effective February 5, 1985)

Section 115.38 Refugee Resettlement Program: Sanctions For Failure to Cooperate With Work Requirements a) A nonexempt recipient who, without good cause, quits an appropriate job, refuses to apply for an appropriate job or refuses to accept an appropriate offer of employment will …