89 Ill. Adm. Code 1020.102.80
Right to Appeal
Section 102
TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER a: GENERAL PROVISIONS
PART 102 RIGHTS AND RESPONSIBILITIES
SECTION 102.80 RIGHT TO APPEAL
Section 102.80 Right to
Appeal
a) Any individual who applies for or receives financial or
medical assistance, social services or food stamps benefits shall have the
right to appeal any of the following:
1) Refusal to accept an application or reapplication;
2) Failure
to act on an application within the mandated time period;
3) A decision to deny an application;
4) A decision to reduce, suspend, terminate or in any way change
the amount of assistance/food stamps or manner in which it is provided;
5) Failure to make a decision or take appropriate action on any
request which the client makes;
6) A decision affecting the basis of issuance of food stamps with
which the client disagrees;
7) A decision to deny the payment for a medical service or item
that requires prior approval;
8) A decision granting prior approval request for a lesser or
different medical service or item than was originally requested;
9) An issue of Department policy, if the client is aggrieved by
its application;
10) The determination of the amount of a premium that may be
charged to a client under any medical assistance program. The Department's
determination of the amount of a premium shall remain in force during the
appeal process;
11) Imposition of a penalty period under 89 Ill. Adm. Code
120.387 or 120.388; or
12) A
denial of a request for a hardship waiver under 89 Ill. Adm. Code 120.379(i), 120.385(c)(3)
or 120.388(r).
b) The appeal may be filed by the client or the client's
authorized representative. For food stamp clients, the request for a hearing
may be made orally or in writing, and the appeal process is initiated effective
with the date of the request.