86 Ill. Adm. Code 5300.530.115
Eligibility Qualifications
Section 530
TITLE 86: REVENUE
CHAPTER I: DEPARTMENT OF REVENUE
PART 530 SENIOR CITIZENS AND DISABLED PERSONS PROPERTY TAX RELIEF AND PHARMACEUTICAL ASSISTANCE ACT
SECTION 530.115 ELIGIBILITY QUALIFICATIONS
Section 530.115 Eligibility
Qualifications
a) 1998 and 1999 Claim Years
1) In order to be eligible to participate in this program for the
1998 and 1999 claim years, each claimant must:
A) be 65 years of age or older or disabled prior to January 1 of
the year in which a claim is filed, or be the
surviving spouse of
a
claimant, who at the time of death received or was entitled to receive
pharmaceutical assistance
benefits, which surviving spouse will become 65
years of age within the 24 months immediately following the death of
a
claimant
and which surviving spouse
, but for his or her age,
is otherwise
qualified to receive
pharmaceutical assistance benefits
;
B)
be domiciled in
Illinois
at the time he or she
files
a
claim;
C)
have a maximum household income of
less than $16,000
;
D)
obtain
a
card from the Department; and
E)
at the time
a
card is obtained, execute an
assignment to the Department of all benefits which might be claimed under any
private insurance
plan
in purchasing covered prescription drugs.
[320 ILCS 25/4(f)]
2)
If two or more persons living in the same household are
eligible to participate in
this program, all the requirements of
subsection (a)(1)
above must be met by each
person
. [320 ILCS
25/4(f)
3) Persons who participate in some other program of public
assistance are ineligible to participate in this program to the extent that the
other program provides pharmaceutical assistance benefits for a covered
prescription drug under this program. [320 ILCS 25/4(f)]
b)
2000 Claim Year and Later Claim Years
1)
In order to be eligible to participate in this program for
the 2000 claim year and later claim years, each applicant must:
A)
file a timely claim
in accordance with the dates
designated in Section 530.117(a)(1)
; and
B)
meet one of the following requirements:
i)
be 65 years of age or older
prior to January 1 of
the calendar year in which
a
claim is filed; or
ii)
become 65 years of age during the calendar year in which a
claim is filed; or
iii)
be the surviving spouse of an applicant, who at the time
of death received or was entitled to receive pharmaceutical assistance
benefits, which surviving spouse will become 65 years of age within the 24
months immediately following the death of an applicant and which surviving
spouse, but for his or her age, is otherwise qualified to receive
pharmaceutical assistance; or
iv)
be disabled prior to January 1 of the
calendar
year
in which
a
claim is filed; and
C)
be domiciled in Illinois at the time he or she files a
claim; and
D)
have a current income of less than $21,218 for a household
consisting of one person, $28,480 for a household consisting of either two
persons or one person and one additional resident, or $35,740 for a household
consisting of either two persons and one or more additional resident or one
person and two or more additional residents; and
E) authorize the release of medical, pharmaceutical, and Social
Security records for audit or verification purposes; and
F)
obtain a card from the Department; and
G)
execute an assignment to the Department of all benefits
which might be claimed under any private plan of assistance, including any
insurance plan
or public assistance program, or from a third party in
purchasing covered prescription drugs. [320 ILCS 25/4(f)]
2)
If more than one person in a household or any additional
resident is eligible to participate in this program, all the requirements of
subsection (b)(1) above must be met by each applicant.
[320 ILCS 25/4(f)]
3)
Persons who participate in some other program of public
assistance are ineligible to participate in this program to the extent that the
other program provides pharmaceutical assistance benefits for a covered
prescription drug under this program.
[320 ILCS 35/4(f)]