77 Ill. Adm. Code 5900.590.328
Waiver of Service Obligation
TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER h: GRANTS, LOANS, SCHOLARSHIPS, AND WAIVERS FOR HEALTH CARE PROFESSIONAL STUDENTS, PATHOLOGISTS, AND PROVIDERS
PART 590 UNDERSERVED HEALTH CARE PROVIDER WORKFORCE CODE
SECTION 590.328 WAIVER OF SERVICE OBLIGATION
Section 590.328 Waiver of Service Obligation
A waiver request of the service obligation shall be
submitted in writing to the Department. The request shall detail the reasons
for the waiver and be accompanied and supported by documentation described in
this Section.
a) Reasons
for a waiver request must be based upon the recipient's:
1) Total
and permanent disability;
2) Incompetency;
or
3) Death.
b) If
the waiver is due to total and permanent disability, documentation from a
physician licensed to practice medicine in the United States is required.
Additionally, the proof of disability shall include documentation from:
1) The
Social Security Administration;
2) The
Illinois Workers' Compensation Commission;
3) The
U.S. Department of Defense; or
4) An
insurer authorized to transact business in Illinois who is providing disability
insurance coverage.
c) If a
waiver is requested because the recipient is incompetent, the request shall be
supported by a certified copy of the adjudication from a State or federal court
of law.
d) If
the waiver is requested because of the recipient's death, the request shall be
supported by a certified copy of the recipient's death certificate.
e) The
Department shall not initiate a claim for repayment against a recipient who is
deemed disabled or incompetent nor against the estate of a decedent, if the
request is in full compliance with this Section.