reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.324 - Health Insurance Premium Payment (HIPP) Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) This program provides health insurance
				coverage for recipients who have health insurance available and have high cost
				medical expenses. Authorization for the Health Insurance Premium Payment
				Program (HIPP) was established by section 4402 of OBRA 1990, which added
				section 1906 to the Social Security Act.
b) Program Provisions
1) The HIPP Program shall provide for the
				mandatory enrollment of eligible persons in available cost effective group or
				individual health plans as a condition of medical assistance eligibility. A
				group health plan is "any plan of, or contributed to by, an employer (including
				a self insured plan) to provide health care to the employer's employees, former
				employees, or families of such employees or former employees." An individual
				health plan is a contract for health insurance coverage between an individual
				and an insurance company.
2) The
				Department shall pay health insurance premiums for eligible medical assistance
				recipients whenever it is likely to be cost effective.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.325 - Health Insurance Premium Payment (HIPP) Pilot Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) The pilot
				program will begin on January 1, 1994 and will operate for a minium of three
				(3) months.
b) The pilot program
				will be conducted in Auburn Park, Peoria and Winnebago Local Offices.
c) The rules for the pilot program are in
				Section
				120.324,
				Health Insurance Premium Payment Program.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.326 - Foster Care Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) A child is
				eligible for MANG(C) when:
1) The child has
				been removed from the home of a specified relative as a result of court action,
				is a child for whom DCFS is legally responsible, and has been placed in foster
				care (foster care home, or private non-profit, group home institution) which is
				licensed or approved by the Department of Children and Family Services;
				and
2) The child was eligible for
				and receiving MANG(C) in or for the month in which court action was initiated
				leading to placement; or
3) The
				child met the citizenship, age, residence, need, and lack of parental support
				or care criteria for MANG(C) at the time of initiation of court action and
				lived with a specified relative at any time within the six (6) months prior to
				the initiation of court action leading to placement; and
4) The child continues to meet AFDC
				eligibility requirements of age, need, lack of parental support or care, and
				registration/participation requirements.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.327 - Social Security Numbers

Current through Register Vol. 48, No. 28, July 12, 2024
a) To
				be eligible for AABD or AFDC MANG, each individual must furnish the Department
				his/her Social Security Number(s) (SSN). If more than one SSN has been assigned
				to any individual(s), all numbers are to be furnished.
b) If a SSN cannot be furnished, either
				because it has not been issued or is not known, application shall be made for a
				SSN.
c) Medical assistance will not
				be denied, delayed or discontinued pending the issuance or validation of a SSN
				if the individual, or someone acting responsibly for the individual, applies
				for the SSN.
d) Individuals for
				whom a SSN is not furnished and for whom application for a SSN is not made are
				ineligible for medical assistance under the AABD or AFDC MANG
				program.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.330 - Unearned Income

Current through Register Vol. 48, No. 28, July 12, 2024
a) All currently
				available, unearned income which is not specified as exempt shall be considered
				in the determination of eligibility.
b) Unearned income is all income other than
				that received in the form of salary for services performed as an employee or
				profits from self-employment. Unearned income includes any amount of interest
				earned from assets disregarded by Section
				120.382(a)(3) and
				(a)(4).
c) When the amount of unearned income to be
				considered is determined, the cents are dropped from each payment
				amount.
d) For payments received
				weekly, the weekly amount is multiplied by 4.33 to determine the countable
				monthly income.
e) For payments
				received bi-weekly, the bi-weekly amount is multiplied by 2.16 to determine the
				countable monthly income.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.332 - Budgeting Unearned Income

Current through Register Vol. 48, No. 28, July 12, 2024
Monthly unearned income of a client is budgeted on the basis
				  of income anticipated to be received during the budgeting period. Computation
				  is to be based on information provided by the client and verification of that
				  information. All income is to be converted into monthly amounts. Budgeting
				  occurs upon initial determination, upon redetermination and when the client
				  reports a change in the source or amount of income received.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.335 - Exempt Unearned Income

Current through Register Vol. 48, No. 28, July 12, 2024
a) MANG
				(AABD)
1) For a MANG client (excluding long
				term care), the first $25.00 of a client's earned or unearned income other than
				SSI income, or contributions from a spouse or other individual, is exempt from
				consideration in determining eligibility. A client is eligible for only one
				$25.00 exemption regardless of the types of sources of earned or unearned
				income.
2) If an individual in a
				long term care facility is paying the premium for SMIB coverage, the cost of
				the premium shall be disregarded.
3) SSI income received by a long term care
				case who is in Section 1619 of the Social Security Act (
				42 USC
				1382 h ) status (see 89 Ill. Adm. Code
				140.8
				) in the month before admission to the facility is exempt for the first full
				two months of stay in the facility.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.336 - Education Benefits

Current through Register Vol. 48, No. 28, July 12, 2024
The following education benefits shall be exempt:
a) Veterans Educational Assistance
Income from educational benefits paid to a veteran or to a
				  dependent of a veteran.
b)
				Social Security Administration Benefits
Income received as an SSA benefit paid to or for an
				  individual and conditioned upon the individual's regular attendance in a
				  school, college or university, or a course of vocational or technical
				  learning.
c) All other
				education grants and loans.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.338 - Incentive Allowance

Current through Register Vol. 48, No. 28, July 12, 2024
The following incentive allowances shall be exempt:
a) National Training Services Grant
Incentive payments which the Division of Vocational
				  Rehabilitation authorizes to be paid to disabled persons receiving categorical
				  assistance and enrolled in the National Training Service Project.
b) Work Incentive Demonstrative
				Program (WDP) Incentive Payments.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.340 - Unearned Income In-Kind

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Unearned Income in-kind is payment made by a non-member of the assistance unit
				in behalf of or in the name of a member of the assistance unit.
b) Unearned income in-kind shall be
				exempt.
c) When the assistance unit
				shares a dwelling unit with another family or individual(s), the exchange of
				cash for purposes of satisfying payment of shelter related obligations shall
				not constitute an income in-kind payment and shall not be considered available
				to meet the needs of the person who receives and disburses the shelter-related
				payment.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.342 - Child Support and Spousal Maintenance Payments

Current through Register Vol. 48, No. 28, July 12, 2024
a) Court ordered child support and/or spousal
				maintenance (alimony) payments shall be deducted from nonexempt income in
				determining the countable income of the person making the payment.
b) Voluntary child support and/or spousal
				maintenance payments made for persons for whom the payer is legally responsible
				according to 89 Ill. Adm,. Code
				103.10 shall be
				deducted from nonexempt income in determining the countable income of the
				responsible relative.
c) These
				deductions cannot exceed the total amount of countable income.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.345 - Earmarked Income

Current through Register Vol. 48, No. 28, July 12, 2024
a) Earmarked
				income is income restricted for the use of a specified individual by court
				order, or by legal stipulation of a contributor.
b) MANG(AABD)
Earmarked income shall be budgeted against the needs of the
				  specified individual only.
c) MANG(C)
Earmarked income shall be considered available to meet the
				  family's needs. The caretaker relative may request that any individual
				  receiving earmarked income sufficient to meet that individual's need to be
				  deleted from the assistance unit. In that instance, the earmarked income shall
				  be considered available to meet the needs of the deleted individual and the
				  needs of person(s) for whom the individual is legally
				  responsible.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.346 - Medicaid Qualifying Trusts

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				This Section applies to trusts established prior to August 11, 1993.
b) The maximum amount of payment permitted
				under the terms of a Medicaid qualifying trust (described in subsection (c)
				below) shall be considered in determining eligibility for medical assistance,
				whether or not the maximum amount was distributed to the individual. The
				maximum amount is considered in determining eligibility for medical assistance,
				whether or not the trust is irrevocable or established for reasons other than
				to qualify for Medicaid.
c) A
				Medicaid qualifying trust is a trust, or similar legal device, established
				(other than by will) by an individual (or an individual's spouse) under which
				the individual may be the beneficiary of all or part of the payments from the
				trust and the distribution of such payments is determined by one or more
				trustees who are permitted to exercise any discretion with respect to the
				distribution to the individual.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.347 - Treatment of Trusts and Annuities

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				This Section applies to trusts established on or after August 11,
				1993.
b) A trust is any arrangement
				in which a grantor transfers property to a trustee or trustees with the
				intention that it be held, managed or administered by the trustee or trustees
				for the benefit of the grantor or designated beneficiaries. A trust also
				includes any legal instrument or device that is similar to a trust, including
				an annuity.
c) A person shall be
				considered to have established a trust if resources of the person were used to
				form all or part of the principal of the trust and the trust is established
				(other than by will) by any of the following:
1) the person;
2) the person's spouse; or
3) any other person, including a court or
				administrative body, with legal authority to act on behalf of or at the
				direction of the person or the person's spouse.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.350 - Lump Sum Payments and Income Tax Refunds

Current through Register Vol. 48, No. 28, July 12, 2024
a) Lump sum payments shall be considered
				available for the established six month period in which it is
				received.
b) For a MANG client who
				resides in the community, SSI lump sum payments are exempt income. SSI lump sum
				payments that are kept separately and are not combined with other monies remain
				exempt.
c) For a MANG client who
				resides in a group care facility, DMHDD facility or other medical facility, SSI
				lump sum payments are considered non-exempt income. The lump sum payment is
				considered available to meet the needs of the individual for the established
				six month period in which it is received.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.355 - Protected Income

Current through Register Vol. 48, No. 28, July 12, 2024
a) MANG(AABD)
1) Supplemental Security Income (SSI) is
				protected income and not considered available to meet the needs of any other
				person.
2) For a MANG client who
				resides in the community, SSI lump sum payments are exempt income. SSI lump sum
				payments that are kept separately and are not combined with other monies remain
				exempt.
3) For a MANG client who
				resides in a group care facility, DMHDD facility or other medical facility, SSI
				lump sum payments are considered non-exempt income. The lump sum payment is
				considered available to meet the needs of the individual for the established
				six month period in which it is received.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.360 - Earned Income

Current through Register Vol. 48, No. 28, July 12, 2024
a) All currently
				available income which is not specified as exempt is considered in the
				determination of eligibility.
b)
				Earned income is remuneration acquired through the receipt of salaries or wages
				for services performed as an employee or profits from an activity in which the
				individual is self-employed.
c)
				AFDC(MANG)
1) Earned income received through
				the Job Training Partnership Act by dependent children who are full-time
				students or who are part-time students and not employed full-time (i.e.,
				working 100 hours or more per month) is exempt (see 89 Ill. Adm. Code
				112.140 for a
				definition of "full-time student" and "part-time student"). Participants in Job
				Corps are considered students.
2)
				Earned income received through the Job Training Partnership Act by dependent
				children who are not students as described in subsection (c)(1) of this Section
				is exempt for six months each year.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.361 - Budgeting Earned Income

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Budgeting is the method by which nonexempt income is compared to the applicable
				MANG Standard (as contained in Sections
				120.20,
				120.30
				and
				120.31
				).
b) For persons who are paid
				weekly, the average gross weekly payment is multiplied by 4.33 to determine the
				countable gross monthly income.
c)
				For persons who are paid bi-weekly, the average gross bi-weekly payment is
				multiplied by 2.16 to determine the countable gross monthly income.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.362 - Exempt Earned Income

Current through Register Vol. 48, No. 28, July 12, 2024
a) MANG (AABD)
				(Excluding Long Term Group Care)
The first $25.00 of a client's earned or unearned income,
				  other than SSI or contributions from a spouse or other individual residing
				  outside the home, is exempt from consideration in the determination of
				  eligibility. A client is eligible for only one $25.00 exemption regardless of
				  the type or source of income.
b) Certain additional amounts of earned
				income shall be exempt:
1) For MANG
				(AABD(A)(D)), the first $20.00 of gross earned income and one-half of the next
				$60.00 are exempt.
2) For
				MANG(AABD(B))
A) The first $85.00 of the gross
				earned income and one-half of the amount in excess of $85.00 are
				exempt.
B) Amounts of income as may
				be necessary for fulfillment of a client's plan for achieving self-support for
				a period not to exceed 12 months are exempt.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.363 - Earned Income Disregard - MANG(C)

Current through Register Vol. 48, No. 28, July 12, 2024
The first $90.00 of earned income is disregarded from monthly
				  earned income of each employed person.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.364 - Earned Income Exemption

Current through Register Vol. 48, No. 28, July 12, 2024
a) For
				MANG(C), the first $30.00 of the combined net earned income of each employed
				person excluding the earned income of a dependent child (see Sections
				120.360 and
				120.362 )
				plus one-third of the remainder shall be exempt from consideration. The net
				income is gross income after the deduction of appropriate business expenses
				and/or employment expense.
b) After
				the amount of the earned income exemption is determined, the cents are dropped
				before the earned income exemption is deducted from the gross unearned income
				minus the income disregard.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.366 - Exclusion from Earned Income Exemption

Current through Register Vol. 48, No. 28, July 12, 2024
For MANG(C and CU) the earned income exemption
				  applies:
a)
1) If the individual has not already received
				the earned income exemption as an AFDC grant recipient for four (4) consecutive
				months; or
2) If an individual
				received the exemption as an AFDC grant recipient for four (4) consecutive
				months, he/she has not received AFDC grant assistance for 12 consecutive months
				since the last month of that four months, then the individual must meet one of
				the following conditions in order to receive the earned income exemption:
A) the individual's gross income minus the
				income disregards and self employment business expenses, plus all other
				nonexempt income, is less than the AFDC Standard of Need, or
B) the individual was an AFDC grant recipient
				in any one of the four months before the month for which the determination is
				made.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.370 - Recognized Employment Expenses

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				MANG(AABD)
The following recognized expenses of employment shall be
				  exempt from consideration for MANG(AABD):
1) Withholding taxes (Federal and
				State);
2) Social Security
				Tax;
3) Transportation at most
				reasonable rate. If the individual's own car is the most economical means of
				transportation, 19 cents per mile shall be allowed as transportation
				expense;
4) Lunch supplementation:
A) If carried from home, 15 cents per working
				day to a maximum of $3.00 per month;
B) If purchased at work, 45 cents per working
				day to a maximum of $9.00 per month;
5) Special tools and uniforms required by
				employment;
* 6) Union
				dues;
* 7) Group life insurance
				premiums;
* 8) Group health
				insurance premiums;
* 9) Retirement
				plan withholding; and
10) The
				reasonable cost of items and services which are needed and used to enable a
				disabled person to work.
*Agency Note: Only if mandatory as a condition of
				  employment
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.371 - Income From Work/Study/Training Programs

Current through Register Vol. 48, No. 28, July 12, 2024
a) Income from college work-study is
				considered exempt income.
b)
				AFDC(MANG)
1) Earned income received through
				the Job Training Partnership Act by dependent children who are full-time
				students or who are part-time students and not employed full-time (i.e. working
				100 hours or more per month) is exempt (see 89 Ill. Adm. Code
				112.140 for a
				definition of "part-time student" and "full-time student"). Participants in Job
				Corps are considered students.
2)
				Earned income received through the Job Training Partnership Act by dependent
				children who are not students as described in (1) above is exempt for six
				months each year.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.372 - Earned Income From Self-Employment

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Income realized from self-employment is considered earned income.
b) Accurate and complete records shall be
				kept on all monies received and spent through self-employment. If the
				individual fails or refuses to maintain complete business records, the
				assistance unit is ineligible.
c)
				Business expenses must be verified. The individual has full responsibility for
				proof of any business expense. No deduction is allowed for depreciation,
				obsolescence and/or similar losses in the operation of the business. Gross
				income from the business is turned back into the business only to replace stock
				actually sold.
d) The net income is
				the gross remaining after the replacement of stock and business expenses have
				been considered, and the appropriate employment expenses and child care
				expenses, as specified in Section 113, have been deducted. The earned income
				exemption, if applicable, is computed on the net income.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.373 - Earned Income From Roomer and Boarder

Current through Register Vol. 48, No. 28, July 12, 2024
a) MANG(AABD)
1) Money paid by roomers and/or boarders to a
				member of an assistance unit who represents himself as being self-employed in
				the business of renting rooms shall be considered earned income.
2) The following items shall be allowed as
				deductions for a roomer and boarder.
A)
				Replacement of towels and bed linen - $1.50
B) Laundry - 55¢ for
				additional supplies when the recipient launders the linen; or the roomer's per
				capita cost when laundry is done commercially
C) Food - if the roomer and boarder receives
				public assistance, the allowance is the appropriate MANG(AABD) financial
				standard. If the roomer and boarder does not receive public assistance, the
				allowance is the appropriate MANG(AABD) standard plus 25% of the
				allowance
D) Earned income
				exemptions as applicable.
3) The applicable earned income exemption
				shall be the only deduction allowed for a roomer who is not also a
				boarder.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.374 - Earned Income from Temporary Employment with the Census Bureau

Current through Register Vol. 48, No. 28, July 12, 2024
Earned income from temporary employment with the U.S. Census
				  Bureau related to decennial census activities is exempt.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.375 - Earned Income In-Kind

Current through Register Vol. 48, No. 28, July 12, 2024
a) Earned income
				in-kind is renumeration received in a form other than cash for services
				performed. Such renumeration shall include, but is not limited to housing, food
				(except meals provided while working), satisfaction of a debt, or a service
				provided by the employer for the employee.
b) Earned income-in-kind shall be
				exempt.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.376 - Payments from the Illinois Department of Children and Family Services

Current through Register Vol. 48, No. 28, July 12, 2024
Foster Care Payments
a) The following foster care payments made by
				the Department of Children and Families Services (DCFS) are to be considered
				exempt unearned income when determining the eligibility of the assistance unit
				(exclusive of the foster child).
1) Basic
				maintenance payments.
2) Special
				service fee payments.
3) Intensive
				service fee payments.
4) Monthly
				retainer fee payments.
5) Adoption
				Subsidies.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.379 - Provisions for the Prevention of Spousal Impoverishment

Current through Register Vol. 48, No. 28, July 12, 2024
a) The provisions for the prevention of
				spousal impoverishment apply only to an institutionalized person (as defined in
				Section
				120.388(c)
				) whose spouse resides in the community. For purposes of this Section, those
				persons shall be referred to as the institutionalized spouse and the community
				spouse.
b) Income. In determining
				the financial eligibility of an institutionalized spouse, only non-exempt
				income attributed to the institutionalized spouse shall be considered
				available. The following rebuttable presumptions shall apply in determining the
				income attributed to each spouse:
1) if
				payment of income is made solely in the name of one spouse, the income will be
				considered available only to that spouse;
2) if payment of income is made in the names
				of both spouses, one-half of the income shall be considered available to each
				spouse;
3) if payment of income is
				made in the names of either spouse, or both, and to another person or persons,
				the income shall be considered available to each spouse in proportion to the
				spouse's interest (or, if payment is made to both spouses and no other interest
				is specified, one-half of the joint interest shall be considered available to
				each spouse);
4) if payment of
				income is made from a trust, the income shall be considered available to each
				spouse as provided under Section
				120.347(h);
				and
5) if there is no trust or
				instrument establishing ownership, one-half of the income shall be considered
				available to the institutionalized spouse and one-half to the community
				spouse.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.380 - Resources

Current through Register Vol. 48, No. 28, July 12, 2024
a) Unless otherwise
				specified and for purposes of this Part, the term "resource" (as defined in
				42 USC
				1382 b, except subsection (a)(1) of that
				section, which excludes the home as a resource) means cash or any other
				personal or real property that a person owns and has the right, authority or
				power to liquidate.
b) A resource
				is considered available to pay for a person's own care when at the disposal of
				that person; when the person has a legal interest in a liquidated sum and has
				the legal ability to make the sum available for support, maintenance or medical
				care; or when the person has the lawful power to make the resource available or
				to cause the resource to be made available.
c) The value of nonexempt resources shall be
				considered in determining eligibility for any means-tested public benefit
				program administered by the Department, the Department of Human Services or the
				Department on Aging if eligibility is determined, in part, on the basis of
				resources as provided under this Section.
d) Determination of Resources
1) In determining initial financial
				eligibility for medical assistance:
A) The
				Department considers nonexempt verified resources available to a person as of
				the date of decision on the application for medical assistance. The date of
				verification (see Section
				120.308(f)
				) may be prior to the date of decision. Resources applied to a spenddown
				obligation in a retroactive month (see Section
				120.61(b)
				) shall not be treated as available in the determination of initial financial
				eligibility. Money considered as income for a month is not considered a
				resource for that same month. If income for a month is added to a bank account
				that month, the Department will subtract the amount of income from the bank
				balance to determine the resource level. Any income remaining in the following
				months is considered a resource.
B)
				Effective June 16, 2014, clients and applicants who receive Supplemental
				Security Income (SSI) payments or who were receiving SSI when they entered a
				nursing home or the supported living program or initiated other long term
				support services are considered to have their current resources
				verified.
C) Effective June 16,
				2014, individuals who have verified income at or below 100% FPL and report
				resources at or below the appropriate resource disregard in Section
				120.382 or
				120.510
				are considered to have their current resources verified, unless there is a
				specific reason to question the value of the resource.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.381 - Exempt Resources

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Effective July 1, 2012, the following resources are exempt from consideration
				in determining eligibility for medical assistance:
1) Homestead Property.
A) Homestead property is any property in
				which a person (and spouse, if any) has an ownership interest and that serves
				as the person's principal place of residence. This property includes the
				shelter in which a person resides, the adjoining land on which the shelter is
				located and related outbuildings.
B) If a person (and spouse, if any) moves out
				of his or her home without the intent to return, the home is no longer exempt
				because it is no longer the person's principal place of residence. If a person
				leaves his or her home to live in a long term care facility, the property is
				considered exempt, irrespective of the person's intent to return, as long as a
				spouse or dependent relative of the eligible person continues to live there.
				The person's equity in the former home is treated as an available resource
				effective with the first day of the month following the month it is no longer
				his or her principal place of residence.
C) Subject to federal approval, homestead
				property transferred to a trust is not exempt unless the Department determines
				that the person's spouse, minor child or disabled child resides in the
				property.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.382 - Resource Disregard

Current through Register Vol. 48, No. 28, July 12, 2024
a) In addition to
				the exempt resources listed in Section
				120.381, the cash value of
				resources shall be disregarded for AABD MANG as follows:
1) $17,500 for a single person or married
				couple, along with any dependents.
2) Resources equal in amount to the benefits
				paid on behalf of a person under a qualified long term care insurance policy as
				provided under 42 U.S.C.
				1396p(b)(1)(C) and (b)(5).
				Policies written in Illinois are approved by the Director of the Illinois
				Department of Insurance under the Qualified Long Term Care Insurance
				Partnership (QLTCIP) program (50 Ill. Adm. Code 2012). The dollar value of the
				amount paid for QLTCIP benefits is disregarded; the extent to which the
				disregard is applied to a resource will depend and may vary with the underlying
				equity value (see Section
				120.381(a)(6))
				the person holds in the resource.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.383 - Deferral of Consideration of Assets

Current through Register Vol. 48, No. 28, July 12, 2024
a) Consideration of excess assets may be
				deferred for a period not to exceed two months for applicants who are leaving a
				State School or State mental hospital to enter group care facilities and for
				whom the exact trust fund amount cannot be determined but appears not to exceed
				one month's needs.
b) A final
				decision concerning use or disposal of nonexempt assets may be deferred for 90
				days, from the date assistance is initially authorized, when it can be assumed
				at the time of application that the period of eligibility will not extend
				beyond 90 days.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.384 - Spenddown of Resources

Current through Register Vol. 48, No. 28, July 12, 2024
In determining a person's resource spenddown obligation, the
				  Department compares nonexempt resources available to the person to the
				  appropriate resource disregard. The amount of resources in excess of the
				  disregard determines the amount of the spenddown.
a) If a person presents verification that
				excess resources are no longer available, the Department will make the
				appropriate changes the month following the month the person disposed of the
				resources.
b) Persons enrolled in
				spenddown are not eligible for payment of covered medical services until
				spenddown is met. A resource spenddown is met by presenting allowable medical
				bills or receipts to the Department that equal the amount of the person's
				nonexempt excess resources. See Sections
				120.60(c)
				and
				120.61(c)
				for specific requirements related to spenddown, including the option to pay in
				spenddown to the Department by enrolling in the Pay-in Spenddown
				Program.
c) Once an excess resource
				has been used to meet spenddown, whether or not the excess amount has actually
				been reduced, it is no longer considered. However, at
				reapplication/redetermination, the Department will consider any excess
				nonexempt resources remaining as currently available.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.385 - Factors Affecting Eligibility for Long Term Care Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) For purposes of
				this Section, the terms "institutionalized persons" and "long term care
				services" shall have the meanings described in Section
				120.388
				of this Part. The terms "institutionalized spouse" and "community spouse" shall
				have the meanings described in Section
				120.379(a)
				of this Part.
b) Disclosure of
				Annuity and Naming the State as Remainder Beneficiary.
1) Effective January 1, 2012, an application
				(or redetermination related to an application) for long term care services
				shall include a disclosure by an institutionalized person or his or her
				community spouse of any interest either or both may have in any annuity or
				similar financial instrument purchased, regardless of whether the annuity is
				irrevocable or is treated as an asset. The application or recertification form
				shall also include a statement that the State of Illinois becomes a remainder
				beneficiary under such an annuity or similar financial instrument to the extent
				that the State has provided medical assistance to the institutionalized
				person.
2) Failure of an
				institutionalized person, his or her community spouse, or his or her
				representative to disclose information or to name the State as a remainder
				beneficiary as provided for in subsection (b)(1) of this Section, or to
				disclose sufficient information regarding an annuity in order to establish
				eligibility for long term care services, shall result in denial or termination
				of the eligibility. Failure of an institutionalized person, his or her
				community spouse or his or her representative to disclose the information
				provided for in subsection (b)(1) of this Section, or to disclose sufficient
				information regarding an annuity in order to establish eligibility for medical
				assistance, may also result in denial or termination of eligibility for failure
				to cooperate under Section
				120.308.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.386 - Property Transfers Occurring On or Before August 10, 1993

Current through Register Vol. 48, No. 28, July 12, 2024
a) Applicability
1) The provisions for the transfer of
				property (for example, assets) in this Section only apply to institutionalized
				persons when the transfer occurs on or before August 10, 1993. An
				institutionalized person is defined as a resident of a long term care facility,
				including a resident who was living in the community at the time of the
				transfer, and to individuals who but for the provision of home and
				community-based services under Section 4.02 of the Illinois Act on the Aging
				would require the level of care in a long term care facility. An
				institutionalized person also includes an individual receiving home and
				community-based services under Section 4.02 of the Illinois Act on the Aging
				who was not receiving these services at the time of the transfer.
2) Transfers of property disregarded as a
				result of payments made by a Long Term Care Partnership Insurance Policy (as
				described in 50 Ill. Adm. Code 2018) are not subject to the provisions of
				subsection (b), (c), and (d) of this Section.
3) The provisions for the transfer of
				property (for example, assets) in this Section apply to the transfer of
				property by the institutionalized person's spouse in the same manner as if the
				institutionalized person transferred the property.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.388 - Property Transfers Occurring On or After January 1, 2007

Current through Register Vol. 48, No. 28, July 12, 2024
The provisions in this Section are intended to comport with
				  federal requirements related to transfers of assets, in particular,
				  requirements under
				  42 USC
				  1396 p and guidance from the US Department of
				  Health and Human Services related to those statutory requirements.
				  Interpretation and application of this Section shall be made in light of those
				  requirements.
a) General. A transfer
				of assets for less than fair market value made on or after January 1, 2007 by
				an institutionalized person or the spouse of that person within 60 months
				before the later of applying for medical assistance or transferring an asset
				shall result in a period of ineligibility for long term care services for that
				person.
b) Long term care services
				are defined as:
1) services provided in a
				long term care facility as that institution is defined in Section
				120.61(a);
				and
2) services provided under a
				home and community based waiver authorized under
				42 USC
				1396 n(c) or (d) and specified in 42 CFR 441
				Subpart G or H.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.390 - Persons Who May Be Included In the Assistance Unit

Current through Register Vol. 48, No. 28, July 12, 2024
a) MANG(C)
1) The assistance unit must include at least
				one eligible child or only an adult(s) caretaker relative whose eligibility is
				based on a child who is otherwise eligible except the child receives SSI. No
				more than two of the following individuals may be included as adults:
A) The caretaker relative;
B) The parent of an eligible child;
C) The needy relative other than the
				caretaker relative who provides at least one of the following services:
i) child care which enables the caretaker
				relative to work on a full-time (at least 100 hours per month) paid basis
				outside the home;
ii) care for an
				incapacitated family member in the home;
iii) child care that enables a caretaker
				relative to receive training full-time;
iv) child care that enables a caretaker
				relative to attend high school or General Educational Development (GED) classes
				full-time; or
v) child care for a
				period not to exceed two months that enables the caretaker relative to
				participate in a Project Chance (AFDC) work program such as Job
				Search.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.391 - Individuals Under Age 18 Who Do Not Qualify For AFDC/AFDC-MANG And Children Born October 1, 1983, or Later

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Individuals Under Age 18
1) Medical
				assistance shall be provided to individuals under age eighteen (18) who do not
				qualify for AFDC under the definition of dependent child as defined in 89 Ill.
				Adm. Code
				101.20 and
				112.61
				through
				112.64.
				However, such individuals must meet the eligibility requirements and other
				provisions of 89 Ill. Adm. Code
				112.10,
				112.20,
				and 112.Subpart C.
2) If non-exempt
				countable income (see Sections
				120.360 thru
				120.375 )
				is equal to or less than the appropriate MANG (AFDC) standard, (see Section
				120.30
				) the individual is eligible for payment of his/her allowable medical care
				costs (see 89 Ill. Adm. Code
				140.3
				).
3) Persons whose income exceeds
				the appropriate MANG (AFDC) standard are eligible for medical assistance each
				month incurred or paid medical care costs equal the amount of excess non-exempt
				income over the standard. When income exceeds the MANG (AFDC) standard,
				eligibility begins on the day in the month incurred or paid medical care costs
				equals excess monthly income. Eligibility ends on the last day of the same
				month.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.392 - Pregnant Women Who Would Not Be Eligible For AFDC/AFDC-MANG If The Child Were Already Born Or Who Do Not Qualify As Mandatory Categorically Needy

Current through Register Vol. 48, No. 28, July 12, 2024
a) Pregnant women
				who would not be eligible for AFDC/AFDC-MANG if the child were already born
1) Medical assistance shall be provided to
				women of any age who are pregnant and meet the asset standards (see Sections
				120.380 thru
				120.382 ) of
				the AFDC medical assistance program and who would not be eligible for AFDC if
				the child were already born because:
A) the
				father is not absent, and
B)
				neither parent is incapacitated (see 89 Ill. Adm. Code
				112.62
				) and the principal wage earner does not meet the Department's definition of
				unemployment (see 89 Ill. Adm. Code
				112.64
				).
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.393 - Pregnant Women And Children Under Age Eight Years Who Do Not Qualify As Mandatory Categorically Needy Demonstration Project

Current through Register Vol. 48, No. 28, July 12, 2024
The Department shall conduct a six-month demonstration
				  project in Macon County and the Garfield and Western local offices of Cook
				  County to test the impact of providing Medicaid to pregnant women and children
				  under age eight years who do not qualify as mandatory categorically needy and
				  whose incomes are no more than 185 percent of the Federal Poverty Income
				  Guidelines.
Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS › Section 120.399 - Redetermination of Eligibility

Current through Register Vol. 48, No. 28, July 12, 2024
It is the Department's responsibility to determine the
				  continued eligibility of all recipients of medical assistance and it is the
				  recipient's responsibility to cooperate in the redetermination of eligibility.
				  A redetermination of eligibility shall be conducted at least every twelve
				  months and at any time it becomes known to the Department that a recipient's
				  circumstances affecting eligibility may have changed.