Section 240.540  Statement to be Included on Participant Agreement and Consent Form

The following statement shall be included on the Participant Agreement and Consent Form:

NOTICE

I understand that a decision regarding my eligibility for Community Care services must be made within 30 calendar days after the date of this completed form. I must be notified in writing of the decision within 15 calendar days after it is made, and I will receive services, if I am eligible, within 15 calendar days after the notice of eligibility is mailed to me.  However, any delay I cause in failing to provide information requested by the Department on Aging will extend these time limits.

(Source:  Amended at 42 Ill. Reg. 20653, effective January 1, 2019)