Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 120 - MEDICAL ASSISTANCE PROGRAMS › Subpart B - ASSISTANCE STANDARDS › Section 120.10 - Eligibility for Medical Assistance

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Eligibility for medical assistance exists when a person meets the non-financial
				requirements of the program and the person's countable nonexempt income (see
				Sections
				120.64,
				120.330
				and
				120.360 ) is equal
				to or less than the applicable Medical Assistance - No Grant (MANG) standard
				and, for AABD MANG, countable nonexempt resources are not in excess of the
				applicable resource disregards (Section
				120.382 ).
				Persons receiving basic maintenance grants under Article III or IV of the
				Public Aid Code are eligible for medical assistance. Financial eligibility for
				medical assistance for other persons living in the community is determined
				according to Section
				120.60,
				unless otherwise specified. Financial eligibility for medical assistance for
				persons receiving long-term care services, as defined in Section
				120.61(a),
				is determined according to that Section, unless otherwise specified.
b) For AABD MANG, a person's countable income
				and resources include the person's countable income and resources and the
				countable income and resources of all persons included in the Medical
				Assistance standard. The person's responsible relatives living with the child
				must be included in the standard. The person has the option to request that a
				dependent child under age 18 in the home who is not included in the MANG unit
				be included in the MANG standard.
c) For applications received on or after
				October 1, 2013, eligibility for pregnant women and children, as set forth in
				Section
				120.11,
				120.12
				and
				120.14,
				and parents and other caretaker relatives, as set forth in Section
				120.32, shall
				be determined as set forth in Section 120.64.
d) For AABD MANG, if a person's countable
				nonexempt income is greater than the applicable MANG standard and/or countable
				nonexempt resources are over the applicable resource disregard, the person must
				meet the spenddown obligation determined for the applicable time period before
				becoming eligible to receive medical assistance.
e) Effective January 1, 2014, for pregnant
				women and children, if countable nonexempt income is greater than the
				applicable standard, a child or pregnant woman must meet the spenddown
				obligation determined for the applicable time period before becoming eligible
				to receive medical assistance.
f) A
				one month eligibility period is used for persons receiving long-term care
				services (as defined in Section
				120.61(a)
				). Nonexempt income and nonexempt resources over the resource disregard are
				applied toward the cost of care on a monthly basis, as provided in Section
				120.61.
g) Newborns
1) When the Department becomes aware of the
				birth of a child to a recipient of medical assistance , the child shall be
				deemed to have applied for medical assistance, without written request, if the
				mother had been receiving medical assistance on the date of birth of the
				child.
2) The newborn shall be
				eligible to receive medical assistance for a period of time as determined in
				Section
				120.400.