Section 240.865  Application For Medical Assistance (Medicaid)

Participants/authorized representatives will be required to apply for and, if financially eligible, enroll in medical assistance under Article V of the Illinois Public Aid Code as a condition of eligibility for (CCP). 

a)         The Care Coordinator shall, when needed:

1)         provide the participant/authorized representative with a copy of the mail-in medical assistance application and/or the web portal address for the online application, as appropriate;

2)         assist the participant/authorized representative with completing the application; and

3)         submit the application at the web portal address or to the participant's local Department of Human Services (DHS) office.

b)         Completing an application for medical assistance includes, but is not limited to, obtaining, completing and submitting a medical assistance application, together with any required supporting documentation.

c)         Services shall be provided to participants by the Department during the period in which a medical assistance application is pending.

d)         Although participants/authorized representatives must agree to apply for and, if financially eligible, enroll in medical assistance, participants are not required to meet the eligibility criteria for medical assistance under Article V of the Illinois Public Aid Code to receive services under CCP.

(Source:  Amended at 48 Ill. Reg. 1129, effective January 3, 2024)