89 Ill. Adm. Code 1200.160
Eligibility Redeterminations and Investigations
Section 1200.160
Eligibility Redeterminations and Investigations
a) Redeterminations
1) DSCC shall send a notice
to LRAs at least 60 days prior to the end of the period of eligibility that
informs the LRA of the requirements for continued eligibility.
2) If the requirements for
continued eligibility are not fulfilled by the deadline established in the
notice, a Notice of Determination advising of the cancellation shall be issued
to the recipient child pursuant to the requirements of Section 1200.180. Coverage
shall end on the last day of the eligibility period.
3) A recipient child's eligibility
may be reinstated without requiring a new application if the requirements for
continued eligibility are fulfilled within 90 days following the last date of
coverage.
b) Investigations
1) Eligibility may be
reviewed based on information known, reported or discovered or failure to meet
any requirements of this Part.
2) If eligibility is
reviewed, supplemental information, including interviews, may be requested by
DSCC to determine continued eligibility.
3) The LRA shall submit the
supplemental information no later than 45 days after the dated DSCC written
notice or the date specified in the DSCC written notice, whichever is later.
The requirements of this subsection (b)(3) may be waived for good cause shown.
4) Failure to submit the
supplemental information within the required time frame may adversely impact
eligibility for DSCC Program benefits.
5) DSCC shall advise the LRA
of any adverse eligibility determinations made pursuant to this subsection (b) in
accordance with the Notice of Determination requirements of Section 1200.180.
c) Reapplication
Nothing in this Section shall prevent an LRA from
reapplying for DSCC Program benefits at any time.