Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 101 - GENERAL ADMINISTRATIVE PROVISIONS › Section 101.20 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
The definitions in this Section apply to terms used by the
				Department of Healthcare and Family Services, the Department of Human Services
				and local governmental units in administering programs under the Public Aid
				Code. These definitions apply to the rules of those entities unless a specific,
				alternative definition is created in those rules.
"AABD" or "Aid to the Aged, Blind or Disabled" - Financial
				assistance and medical assistance available to individuals who have been
				determined to be aged, blind or disabled as defined by the Social Security
				Administration.
"Adequate Consideration" - The receipt of goods, monies or
				services at least in the amount of the fair market value of the property
				sold.
"Adult Cases" - A case in which no child is included in the
				assistance unit.
"Adverse Action" - Any action that reduces SNAP benefits or
				terminates participation in SNAP within a certification period.
"AFDC" or "Aid to Families with Dependent Children" - Financial
				assistance and medical assistance available to families with one or more
				dependent children or in behalf of dependent children placed in foster care by
				the Department of Children and Family Services (DCFS).
"AFDC-F" - Medical assistance for an eligible child under DCFS
				guardianship.
"Agency Error" - An action or inaction of DHS or HFS resulting
				in assistance benefits being furnished to or in behalf of a client for which
				the client is not eligible.
"Applicant" - An individual requesting assistance by completion
				of a signed, written application form or a person in whose behalf a signed
				written application form is completed requesting assistance.
"Application" - A request for assistance by means of a
				completed, signed designated form. For SNAP purposes, only a name, address and
				signature are needed on the form.
"Assistance Unit" - The individual or individuals living
				together for whom DHS or HFS determines eligibility and, if eligible, provides
				financial and/or medical assistance as one unit.
"Benefit Allotment" - The total dollar value of the SNAP
				benefits that a household is authorized to receive.
"Caretaker Relative" - A relative, as specified in this
				definition, with whom a child must live to be eligible for TANF and who is
				providing care, supervision and a home for the child.
Blood or adoptive relatives within the fifth degree of
				kinship:
Father - Mother
Brother - Sister
Grandmother - Grandfather (including up to
				great-great-great)
Uncle - Aunt (including up to great-great)
Nephew - Niece (including up to great-great)
First Cousin
First Cousin once removed (child of first cousin)
Second Cousin (child of great-aunt/uncle)
Step-Relatives:
Step-Father - Step-Mother
Step-Brother - Step-Sister
Person who is or has been married to one of the listed blood,
				adopted or step-relatives.
"Categorical Assistance Programs" - TANF, AABD and related MANG
				programs.
"Categorically Eligible" - The meeting of all eligibility
				requirements for a categorical assistance program other than financial
				needs.
"Certification for SNAP Benefits" - Authorization of
				eligibility of a household for SNAP.
"Certification Period" - The period of time for which a
				household is authorized to participate in SNAP.
"Certifying Office" - The DHS local office responsible for
				certification of SNAP participants.
"Client" - The adult in the family or unit applying for
				assistance or receiving assistance on behalf of the family.
"Client Error" - A client's mistake, misunderstanding,
				misrepresentation or concealment of information or failure to report
				information promptly that results in financial and/or medical assistance being
				paid to or in behalf of a recipient for which the recipient is not
				eligible.
"Correspondent" - A specific individual who has been legally
				designated to handle the affairs of another individual, that is, parents, court
				appointed guardian or conservator.
"DCFS" - Illinois Department of Children and Family
				Services.
"Department" or "HFS" - Illinois Department of Healthcare and
				Family Services.
"Dependent Child" - A child age 18 or under who is living with
				a relative. If age 18, the child must be a full-time high school (or
				equivalent) student.
"DHS" - Illinois Department of Human Services.
"DHS-MH/DD" - The Divisions of Mental Health and Developmental
				Disabilities of the Department of Human Services.
"DHS-DRS" - The Division of Rehabilitation Services of the
				Department of Human Services.
"Disbursing Order" - An invoice voucher form given to a client
				authorizing a vendor to provide specified goods and/or services.
"Disposition of an Application" - The determination of
				eligibility or ineligibility.
"Diverted Income" - Earned or unearned income of a parent used
				to meet the needs of ineligible persons, including the parent, his or her
				dependent children or his or her spouse.
"DOC" - Illinois Department of Corrections.
"DOL" - Illinois Department of Labor.
"Earmarked Income" - Income restricted for the use of an
				individual by court order or by legal stipulation of a contributor. Only income
				of a child may be considered earmarked for HFS or DHS purposes. The income of
				an eligible child who has siblings in the home receiving TANF financial
				assistance cannot be earmarked.
"Earned Income" - Remuneration derived through the receipt of
				wages or salary for services performed as an employee or profits from activity
				in which the individual is self-employed.
"Effective Date" - The date for which case action is
				authorized.
"Enrolled MANG Participant" - Person or unit meeting the
				nonfinancial factors of eligibility.
"Established Twelve-Month Period" - The period of 12 calendar
				months over which income is compared to the applicable MANG standard.
"Expedited Issuance" - Authorization of SNAP benefits after the
				household has been determined to be destitute or to have zero net
				income.
"Expedited Service" - An immediate processing of a SNAP
				application and determination of eligibility for expedited issuance.
"FNS" - The Food and Nutrition Service of the United States
				Department of Agriculture.
"Final Administrative Decision" - A decision made by HFS or DHS
				as a result of an appeal. It either upholds or reverses the appealed action or
				determines a lack of jurisdiction.
"Financial Assistance" - Public assistance paid in the form of
				a cash benefit to a recipient for income maintenance needs. Medical assistance
				and SNAP benefits are not considered financial assistance.
"Financial Factors of Eligibility" - Income, assets and
				Department levels of assistance.
"Financially Eligible" - The meeting of all financial factors
				of eligibility.
"Fiscal Month" - Begins on a given day in one calendar month
				and ends on the day prior to the same given day in the next calendar
				month.
"Full-Time Employment" - Employment of 30 hours per week or
				more.
"GA" or "General Assistance" - Financial and medical assistance
				provided by a local governmental unit to eligible needy families or individuals
				who are ineligible to receive assistance through a categorical assistance
				program.
"Grant" - The total amount of a monthly financial assistance
				payment.
"Grant Cases" - Public assistance cases authorized for
				financial assistance payments to the recipient.
"Head of Household" - The person in whose name application is
				made for participation in SNAP. This person is normally the individual who is
				the household's primary source of income.
"Health Maintenance Organization" or "HMO" - Licensed by the
				Illinois Department of Insurance as a non-profit incorporated agency whose
				purpose is to provide preventive health care and medical services.
"Healthy Kids" - Early and periodic screening, diagnosis and
				treatment services provided to children from birth through 20 years of
				age.
"Hearing" - The actual presentation and consideration of the
				issue under appeal before a hearing officer of the Department.
"HFS" - Illinois Department of Healthcare and Family
				Services.
"HIB" - Hospital Insurance Benefits provided by Title XVIII of
				the Social Security Act (Medicare) (
				42 USC,
				1395 et seq.).
"Initial Prorated Entitlement" or "IPE" - Financial assistance
				to cover the period from the initial point of eligibility (application for
				assistance or initial needs of a person being added to the assistance unit)
				through two days after the mailing date of the first regular monthly assistance
				warrant.
"In-Kind Income" - Income received by or paid in behalf of an
				individual in a form other than money.
"Intermediate Care Facility" or "ICF" - Provides basic nursing
				care and other restorative services under periodic medical direction. Many of
				these services may require skill in administration. The facilities are for
				residents who have long term illnesses or disabilities that may have reached a
				relatively stable plateau.
"Intermediate Care Facility for the Developmentally Disabled"
				or "ICF/DD" - Provides primarily for ambulatory adults with developmental
				disabilities and addresses itself to the needs of intellectually disabled
				persons and/or those with related conditions. These facilities are for
				residents who have physical, intellectual, social and emotional needs.
"Local Governmental Unit" - Every county, city, village,
				incorporated town or township charged with the duty of providing public aid
				under General Assistance and County Veterans Assistance Commissions providing
				assistance to indigent war veterans and their families.
"Local Office" - DHS offices that serve clients living within a
				designated geographical area.
"Lump-Sum Payment" - An extraordinary or non-recurring income
				payment received by a client.
"MAG" or "Medical Assistance Grant" - Medical assistance paid
				on behalf of a recipient of financial assistance.
"MANG" - Medical Assistance No Grant-" - Medical assistance
				paid on behalf of a recipient of categorical assistance who is not receiving
				financial assistance.
"MANG(AABD)" - Medical assistance available to individuals who
				have sufficient income and assets to meet all maintenance needs other than
				medical care and who are receiving Supplemental Security Income benefits or who
				are determined to be aged, blind or disabled by DHS or HFS.
"MANG(C)" or "Medical Assistance to Needy Families with
				Children" - Available to families with one or more children who would qualify
				for TANF on the basis of non-financial eligibility factors but have sufficient
				income and assets to meet all maintenance needs other than medical care.
"Medicaid" - Medical assistance issued by HFS under provisions
				of Title XIX of the Social Security Act (
				42 USC
				1396 ); MAG and MANG.
"Medical Assistance" - Medicaid.
"Medical Card" - A means of identification used to verify an
				individual's eligibility for medical assistance.
"Medicare" - Payment for medical care under the provisions of
				Title XVIII of the Social Security Act (
				42 USC
				1395 ).
"Migrant Worker" - Any person residing temporarily in and
				employed in Illinois who moves seasonally from one place to another for the
				purpose of employment in agricultural activities, including the planting,
				raising or harvesting of any agricultural or horticultural commodities and the
				handling, packing or processing of those commodities on the farm where produced
				or at the point of first processing.
"OASDI" or "Old Age, Survivors, and Disability Insurance" -
				Often termed "Social Security".
"OJT" or "On the Job Training " - Programs sponsored through
				the TANF JOBS Program, SNAP Employment and Training Program or WIA.
"Participant" - A person taking part in SNAP or a DHS
				employment and training program.
"Prepaid Health Plan" - An organized system of health care
				responsible for providing or assuring the delivery of comprehensive health
				maintenance and treatment services to a voluntarily enrolled population.
"Recipient" - An individual who receives benefits under an
				assistance program.
"Skilled Nursing Facility" or "SNF" - A group care facility
				licensed by the Illinois Department of Public Health that provides skilled
				nursing care, continuous skilled nursing observations, restorative nursing and
				other services under professional direction with frequent medical supervision.
				The facilities are provided for patients who need the type of care and
				treatment required during the post-acute phase of illness or during
				reoccurrences of symptoms in long-term illness.
"Skilled Nursing Facility for Pediatrics" or "SNF/PED" - A
				group care facility licensed by the Illinois Department of Public Health that
				provides nursing care and habilitative and/or rehabilitative care to children
				under 18 years of age. The facilities are for residents primarily diagnosed
				with an intellectual disability or having related conditions.
"SMIB" or "Supplementary Medical Insurance Benefits" - Coverage
				provided under Title XVIII of the Social Security Act for medical services
				other than hospitalization.
"SNAP Benefits" - The cash value of benefits a SNAP unit
				receives from the program.
"SNAP Employment and Training" - Employment and training
				program for SNAP recipients.
"SNAP Household or Unit" - For purposes of SNAP, a household or
				unit is defined as any of the following:
An individual living alone;
An individual living with others but customarily purchasing
				food and preparing meals for home consumption separate and apart from
				others;
A group of individuals who live together and customarily
				purchase food and prepare meals together for home consumption or who, because
				of their relationship, are required to qualify for SNAP benefits as a
				unit.
"Specified Relative" - Same as caretaker relative.
"Spenddown" - The amount by which a client's nonexempt income
				during the eligibility period exceeds the MANG income and asset
				standards.
"SSA" - The Social Security Administration.
"SSI" or "Supplemental Security Income" - A program
				administered by the Social Security Administration providing monthly aid to
				aged, blind or disabled individuals.
"Student" - An individual who is enrolled at least half time
				(as defined by the institution) in any elementary school, high school,
				vocational school, technical school, training program or institution of higher
				education. Enrollment in a mail, self-study or correspondence course does not
				meet the definition of a student.
"Supervision" - Exercising of responsibility for the child's
				welfare by the caretaker.
"TANF" or "Temporary Assistance for Needy Families" - Financial
				and medical assistance available to families with one or more dependent
				children.
"Temporary Caretaker" - Another individual temporarily acting
				as a caretaker (not included in the assistance unit) when no specified relative
				is available.
"UI" - Unemployment Insurance.
"Unearned Income" - All income other than earned income.
"Utilization Control" - Evaluation and review of a recipient's
				need for care, and certification of a patient's need for care as established by
				HFS, DHS and the Department of Public Health or other designated agencies or
				authorities.
"Vendor Payment" - Direct payment to vendors for items or
				services provided to clients.
"WIA" - The Federal Workforce Investment Act of 1998 (
				29 USC
				2801 et seq.).
"Work and Basic Skills Training Program" - The DHS employment
				and training program for TANF recipients.
"Work Experience" - The DHS program that provides experience in
				a job.