Illinois Administrative Code › Title 86 - REVENUE › Part 530 - SENIOR CITIZENS AND DISABLED PERSONS PROPERTY TAX RELIEF AND PHARMACEUTICAL ASSISTANCE ACT › Subpart A - PHARMACEUTICAL ASSISTANCE PROGRAM › Section 530.117 - Claim Filing Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Pharmaceutical Assistance Claims
1) A claim
				for pharmaceutical assistance benefits under the Act must be filed on the
				appropriatepaper or electronicforms approved by the Department in a timely
				manner.The claim must be filed after January 1 but on or before December 31 of
				the calendar year following the claim year as evidenced by the postmark on
				metered and posted claims, or the date-stamp of receipt on hand-delivered
				claims at the Department or its regional offices, or the transmission date to
				confirm receipt of facsimile claims and electronic applications filed with the
				Department via the Internet. [320 ILCS
				25/5(a) ]
2) Only one applicant may file a claim for
				each household for a claim year. If more than one person in a household and,
				for the 2000 claim year and later claim years, any additional resident, is
				eligible to file a claim under the Act, they must agree as to which of them
				will file the claim for the claim year as the claimant and the other person or
				additional resident must sign the claim as an applicant. [320 ILCS
				25/5(c) ]
3) An applicant must submit proof of his or
				her eligibility qualifications as set forth in Section
				530.115.
A) Examples of proof of date of birth
				include:
i) a baptismal record; or
ii) a birth certificate; or
iii) a driver's license; or
iv) an identification card from the Secretary
				of State's office; or
v) an
				insurance policy; or
vi)
				naturalization papers; or
vii) a
				passport.
B) Examples of
				proof of disability include:
i) proof that an
				applicant is eligible to receive disability benefits under the federal Social
				Security Act of 1935 (see
				42 USC
				423 ); or
ii) issuance of an Illinois Disabled Person
				Identification Card stating that an applicant is under a Class 2 disability, as
				defined in Section 4A of the Illinois Identification Card Act [15 ILCS
				335/4A ]; or
iii) status of applicant as a disabled person
				determined by a physician designated by the Department using the same standards
				as used by the Social Security Administration with the costs of any required
				examination paid by the applicant (see
				42 USC
				423 ); or
iv) receipt by applicant of Railroad (see
				45
				USC 231 ), Civil Service, or Veterans' total
				disability benefits (see
				38
				USC 101 ). [320 ILCS
				25/3.14 ]
4) For the 2000 claim year and thereafter, an
				applicant may request that projected income for the coverage year be used as
				current income in determining eligibility at the time a claim is filed if
				projected income for the coverage year will be lower than current income for
				the claim year. The claim must be filed in a timely manner and the request must
				include an itemized listing of current income for the claim year and projected
				income for the coverage year, together with documentation for the lost sources
				of income used in calculating projected income. The Department will allow such
				a request and use projected income as current income in processing the claim if
				its use will enable an applicant to qualify for this program. (See
				320 ILCS
				25/5(e).)