Section 240.630  Determination of Eligibility

a)         A determination of eligibility is an examination of each participant's circumstances to determine the functional need for receipt of CCP, nursing facility, or supported living program provider services.  This determination shall consist of analyzing, evaluating and documenting, when necessary, current, full and complete information obtained from the face-to-face comprehensive assessment of the participant in their place of residence.

b)         The assessment shall include the comprehensive assessment tool and all required CCP forms authorized by the Department, or any successor assessment tool and forms used to determine the need for long-term services and supports.

c)         A participant's request/services may be denied or terminated when eligibility criteria are not met, as required by Sections 240.710 through 240.875.

(Source:  Amended at 48 Ill. Reg. 11053, effective July 16, 2024)