Illinois Administrative Code

Section 115.39 Refugee Resettlement Program: Good Cause For Failure to Cooperate Good cause for failure to cooperate includes, but is not limited to: a) illness or incapacity; b) court required appearance or temporary incarceration; c) family crisis; d) lack of suitable child car…

Section 115.40 The Cuban/Haitian/Entrant (Status Pending) Program (Repealed) (Source: Repealed at 25 Ill. Reg. 8763, effective July 2, 2001)

Section 115.50 The Repatriate Program a) The Repatriate Program provides for the authorization of assistance (financial and medical) for eligible needy U.S. citizens and their dependents who have been returned to the U.S. from a foreign country by the U.S. Department of State bec…

Section 115.60 Special Provisions Relating to Parolees a) Where appropriate, federal governmental officials provide that parolees (aliens not otherwise admissable who have been paroled into the U.S. by the discretion of the U.S. government) may be found eligible for all benefits …

Section 116.10 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 a…

Section 116.400 Crisis Assistance Programs (Repealed) (Source: Repealed at 21 Ill. Reg. 15507, effective November 26, 1997)

Section 116.500 Crisis Assistance a) A crisis assistance payment may be provided to TANF recipients, as per Section 4-12 of the Illinois Public Aid Code [305 ILCS 5/4-12], in the following situations: 1) The family is rendered homeless or is threatened with homelessness as a resu…

Section 116.510 Emergency Assistance Program (Repealed) (Source: Repealed at 21 Ill. Reg. 15507, effective November 26, 1997)

Section 116.520 Hardship Program (Repealed) (Source: Repealed at 17 Ill. Reg. 1091, effective January 15, 1993)

Section 117.1 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 117.10 Payee For Financial Assistance a) The assistance grant shall be paid to an individual designated as the payee on the warrant or the individual authorized to use the Electronic Benefits Transfer (EBT) card or, for direct deposit accounts, the person in whose name th…

Section 117.11 Issuance of Cash Assistance Benefits a) Cash assistance benefits shall be issued to the payee via an electronic benefits payment file established by the Department through Electronic Benefits Transfer (EBT) (see section 408(a)(12)(B)(iii) of the Social Security Act…

Section 117.12 Client Training Brochure for the Electronic Benefits Transfer (EBT) System a) A Client Training Brochure will be provided to all cash and food stamp applicants. b) Clients will be provided instructions including, but not limited to: 1) the appropriate use and secur…

Section 117.13 Replacement of the EBT Card a) Replacement of the EBT Card 1) The EBT card (benefit access device) will be replaced if lost, stolen or damaged. 2) The loss, theft or damage of the EBT card must be immediately reported to the EBT contractor. 3) The client shall cont…

Section 117.15 Reinstatement Upon Cooperation a) When financial aid is reduced or terminated due to the failure of the client to cooperate with the Department and the client, within ten working days after the first day the financial aid would have been available, cooperates with …

Section 117.20 Replacement of Missing Warrants a) When a client reports the non-receipt of a warrant, the Department shall replace the warrant, unless the warrant was endorsed by the payee, after the client has signed a request to stop payment and an agreement that recovery may b…

Section 117.30 Withholding of Rent (Repealed) (Source: Repealed at 7 Ill. Reg. 16111, effective November 22, 1983)

Section 117.40 Recovery of Interim Assistance – Aid to the Aged Blind or Disabled (AABD) and General Assistance (GA) (Repealed) (Source: Repealed at 37 Ill. Reg. 1884, effective February 4, 2013)

Section 117.50 Funerals and Burials a) Funeral and burial services shall be provided, in accordance with Section 117.53, to eligible deceased individuals under either of the following categories: 1) Individuals receiving benefits at the time of death, or who would have qualified …

Section 117.51 Funeral and Burial Services a) Services provided for individuals eligible under Section 117.50(a)(1) are as follows: 1) Complete preparation and preservation of the body, 2) Casket, 3) Outside box, 4) Customary local transportation of the body, 5) Use of funeral ho…

Section 117.52 Burial Expenses The cemetary association is to provide the following: a) The least expensive single grave space, if burial space must be purchased (exclusive of Potter's field), b) Opening and closing the grave, c) Grave service, if customarily provided. (Source: A…

Section 117.53 Payment to Vendor(s) a) If no person has agreed to pay the total cost of funeral and burial charges, the Department will pay the vendor the actual costs of the funeral or burial, or the maximum allowable amount for each service, whichever is less, provided the amou…

Section 117.54 Claims for Reimbursement a) Claims for reimbursement for individuals eligible under Section 117.50(a)(1) are as follows: 1) The Department will not reimburse funeral or burial expenses paid by a legally responsible relatives. 2) If no person has agreed to pay the t…

Section 117.55 Submittal of Claims a) Vendor or reimbursement claims under Section 117.50(a)(1) must be submitted on Department designated claim forms. The claim forms contain a certification statement that must not be altered. Claim forms must be legibly signed and dated in ink …

Section 117.60 Substitute Parental Care/Supplemental Child Care – TANF and AABD a) Substitute Parental Care/Supplemental Child Care 1) Subject to prior approval, payment shall be authorized by the Department for Substitute Parental/Supplemental Child Care when there is a need for…

Section 117.70 Charge for Replacement of Photo ID Cards (Repealed) (Source: Repealed at 12 Ill. Reg. 14296, effective August 30, 1988)

Section 117.80 Direct Deposit of Recipients' Warrants a) Warrants of AABD and TANF recipients shall be deposited directly into their banks, savings and loan associations or credit unions when requested by the recipients. b) Warrants issued to Protective Payees of AABD and TANF cl…

Section 117.90 State Income Tax Match The Department conducts a yearly State Income Tax Match. Department records are matched with Illinois Department of Revenue records to obtain possible sources of unreported income. a) Type I-Income Only cases are those cases that received TAN…

Section 117.91 New Hire Match The Department conducts a periodic New Hire Match of Department records and new hire information reported by employers. The purpose of the New Hire Match is to discover unreported earned income of persons receiving assistance. a) When the new hire in…

Section 117.92 Electronic Finger Imaging The Department will operate the electronic finger imaging system on a statewide basis. The system will be used in the administration of the Food Stamp Program and the Temporary Assistance for Needy Families (TANF) program. In addition, in …

Section 143.100 Definitions For purposes of this Part, the terms below shall be defined as follows: "Contract" means a document containing certain terms and conditions that meet the requirements of this Part and is entered into by a Managed Care Community Network (MCCN) and the D…

Section 143.200 Organizational Structure a) The Managed Care Community Network (MCCN) shall be a separate entity organized as a corporation, limited liability company, or partnership under the laws of this State for the purpose of operating an MCCN and, except for a county MCCN, …

Section 143.300 General Provisions a) The Department shall enter into contracts with MCCNs for the provision of medical care to eligible enrollees in accordance with Section 5-11 of the Illinois Public Aid Code [305 ILCS 5/5-11]. b) The Department may limit the number of MCCNs wi…

Section 143.400 Financial Requirements a) Minimum Net Worth Each MCCN must have and maintain at all times a net worth that meets the minimum net worth requirements as follows: 1) Prior to entering into the contract, net worth shall be at least $500,000. 2) For the first contract …

Section 143.500 Certification An MCCN that meets the requirements of this Part is deemed to be certified by the Department as a risk bearing entity solely for the purpose of meeting the requirements of a Medicaid Managed Care Organization as defined in Section 1903(m) of the Soci…

Section 144.1 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 144.100 Exceptional Care Needs of Clients with Developmental Disabilities a) Exceptional Care Program 1) The Department of Human Services (Department) may make payments to facilities that meet licensure and certification requirements for skilled nursing facilities – under…

Section 144.102 High Medical/High Personal Care Needs of Individuals with Developmental Disabilities a) For services provided on or after July 1, 2010, daily rates for qualifying ICFs/MR shall have their own reimbursement rates adjusted pursuant to this Section. b) Qualifying Cri…

Section 144.105 Individual Program Plan (IPP) (Repealed) (Source: Repealed at 18 Ill. Reg. 16619, effective October 27, 1994)

Section 144.125 Specialized Care – Behavior Development Programs a) Adaptive behaviors are actions and responses which are productive and appropriate. Maladaptive behaviors are actions and responses which are nonproductive and/or inappropriate. Although maladaptive behaviors are …

Section 144.150 Specialized Care – Health and Sensory Disabilities These specialized services refer to three categories (Levels) of care which some individuals must receive, fully or in part, in order to attain physical health and development. The delivery of specialized care in …

Section 144.160 Base Nursing in Facilities Licensed as ICF/DD-16s including Small Scale (4 and 6 bed) ICF/DD-16s a) Base nursing in ICF/DD-16s staffing and reimbursement recognizes the need for adults with developmental disabilities to have regular health care supports. b) Base n…

Section 144.165 Medication Administration in Facilities Licensed as ICF/DD-16s including Small Scale Residential Facilities (4 and 6 bed) ICF/DD-16s a) Medications may be administered by unlicenced staff who have been trained and are supervised by registered professional nurses, …

Section 144.175 Functional Needs Functional needs are the basic needs of all persons. All functional needs of each individual residing in an ICF/MR must be addressed. The individual's IPP must provide a current assessment of his/her developmental level in each area of functional …

Section 144.200 Service Needs - Medical Care (Repealed) (Source: Repealed at 18 Ill. Reg. 16619, effective October 27, 1994)

Section 144.205 Service Needs - Medical and Therapy Services (Repealed) (Source: Repealed at 18 Ill. Reg. 16619, effective October 27, 1994)

Section 144.225 Individual Rights (Repealed) (Source: Repealed at 18 Ill. Reg. 16619, effective October 27, 1994)

Section 144.230 Reconciliation of Resident Funds a) Upon the death of a resident who has monies which are managed by the facility, the facility is to: 1) convey the resident's funds and a final accounting of those funds to the individual administering the deceased's estate within…

Section 144.25 ICF/MR Service Criteria a) Need for ICF/MR Services 1) The need for ICF/MR services shall be established through a comprehensive assessment (see 89 Ill. Adm. Code 140.642), the Level II assessment, that demonstrates that the individual needs active treatment and ha…

Section 144.250 Discharge Planning/Maximum Growth Potential Plan (Repealed) (Source: Repealed at 18 Ill. Reg. 16619, effective October 27, 1994)