Section 118.100  Disabled Adult Children

 

Individuals who meet the following criteria are eligible, without regard to income eligibility requirements, for medical assistance under the AABD program.  The individual:

 

a)         is 18 years of age or older;

 

b)         received Supplemental Security Income (SSI) and/or State Supplemental Payments (SSP) due to disability or blindness.  Receipt of SSP from another State will serve to meet this subsection;

 

c)         became blind or disabled before he or she reached age 22; and

 

d)         lost Supplemental Security Income and/or State Supplemental Payments on or after July 1, 1987 as a result of entitlement to or increase in the Title II benefits under 42 U.S.C. 402(d)(child insurance).

 

Section 118.150  Continuation of Health Insurance Coverage

 

a)         The continuation of health insurance coverage program is a pilot program to assist persons with AIDS or disability as a result of having the human immunodeficiency virus (HIV) who are eligible for insurance coverage under the federal Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985.  The program will cover a maximum of about 100 persons, subject to available funds. Under the program, the Department will pay a maximum monthly health insurance premium of $300 for eligible persons for individual or family (spouse and dependent children) health insurance coverage.

 

b)         Eligibility.  Persons eligible for coverage under this program must meet each of the following requirements:

 

1)         Be diagnosed with AIDS or be disabled due to HIV;

 

2)         Be a resident of Illinois;

 

3)         Be unable to continue employment and be eligible for continuation of insurance coverage under the provisions of COBRA;

 

4)         Be covered by an individual or family health insurance plan which includes coverage of prescribed drugs;

 

5)         Have assets of not more than $10,000; and

 

6)         Have income of not more than 200% of the federal poverty level.

 

c)         Application.  Persons who wish to be covered shall apply to the Illinois Department of Public Health on forms provided by that agency.  The application shall include the following information:

 

1)         Information necessary to identify the person, the former employer, the insurer, and the type of health insurance coverage provided;

 

2)         Income and asset information necessary to determine the income and asset eligibility of the person;

 

3)         Information necessary to verify Illinois residency;

 

4)         Verification of a diagnosis of AIDS from a licensed physician or a determination of disability from the Social Security Administration with verification of testing positive for HIV; and

 

5)         Any other information which may be required to determine eligibility or the length of coverage, such as a determination of disability from the Social Security Administration.

 

d)         The Department will make the insurance premium payments for eligible individuals directly to the health insurer or former employer.  Coverage will continue for the period for which the person is eligible for COBRA coverage, subject to available funds.

 

(Source:  Added at 17 Ill. Reg. 19956, effective November 12, 1993)

 

Section 118.200  Drugs to Prolong the Lives of Persons With Acquired Immunodeficiency Syndrome (AIDS) or AIDS Related Complexes (ARC)

 

The Department's program for funding of drugs to prolong the lives of persons with Acquired Immunodeficiency Syndrome (AIDS) or AIDS Related Complexes (ARC) has been replaced by a program operated by the Department of Public Health (see 77 Ill. Adm. Code 692).

 

(Source:  Amended at 16 Ill. Reg. 11607, effective July 15, 1992)

 

Section 118.300  Widows and Widowers

 

Individuals who meet the following criteria are eligible, without regard to income eligibility requirements, for medical assistance under the Aid to the Aged, Blind or Disabled (AABD) Program.

 

a)         Disabled widows and widowers who:

 

1)         were entitled to benefits under Title II of the Social Security Act (SSA) for December 1983;

 

2)         were entitled to and received SSA disabled widow's/widower's benefits for January 1984;

 

3)         are ineligible for Supplemental Security Income (SSI) and/or State Supplemental Payment (SSP) due to the increase in widow's or widower's benefits;

 

4)         have been continuously entitled to widow's or widower's benefits since the first month of the benefit increase; and

 

5)         would be eligible for SSI and/or SSP if the amount of the increase and any subsequent cost of living adjustments in widow's or widower's benefits were disregarded.

 

b)         Widows and Widowers receiving early benefits who:

 

1)         are eligible for and receiving early widow's or widower's benefits under Title II of the Social Security Act;

 

2)         are not entitled to Medicare Part A (hospital insurance) as determined by the Social Security Administration; and

 

3)         received SSI but are now ineligible for SSI benefits or SSP because of receipt of Title II benefits.

 

(Source:  Amended at 19 Ill. Reg. 7959, effective June 5, 1995)

 

Section 118.400  Incorporation By Reference

 

Any rules or regulations of an agency of the United States or of a nationally recognized organization or association that are incorporated by reference in this Part are incorporated as of the date specified, and do not include any later amendments or editions.

 

(Source:  Section 118.300 renumbered to Section 118.400 at 14 Ill. Reg. 10442, effective June 20, 1990)

 

Section 118.500  Medical Services for Certain Non-Citizen Children

 

a)         Certain non-citizen children under 19 years of age may be eligible for certain medical services. Such non-citizen children include:

 

1)         Children defined at 89 Ill. Adm. Code 120.310(b) or 89 Ill. Adm. Code 125.200(e) who are excluded from receiving medical services under Article V of the Public Aid Code because of the application of 89 Ill. Adm. Code 120.310(b)(2) or health care benefits or rebates under the Children's Health Insurance Program (89 Ill. Adm. Code 125) because of the application of 89 Ill. Adm. Code 125.205(a)(4);

 

2)         Children who are Permanently Residing in the United States Under Color of Law (PRUCOL); and

 

3)         Children who do not meet requirements as defined at 89 Ill. Adm. Code 120.310(b) and 89 Ill. Adm. Code 125.200(e).

 

b)         Such non-citizen children who would otherwise be eligible for Medical Assistance may receive coverage for those medical services available under Article V, including those services under Article V administered by other agencies.  All other requirements set forth under Article V must be met.

 

c)         Such non-citizen children who would otherwise be eligible under 89 Ill. Adm. Code 125 may receive coverage for those medical services available under 89 Ill. Adm. Code 125.  All other requirements described at 89 Ill. Adm. Code 125 must be met.

 

d)         The provisions of 89 Ill. Adm. Code 125, Subpart B, including the handling of appeals and the conduct of hearings pursuant to the provisions of Subpart A of the Department's administrative rules at 89 Ill. Adm. Code 104, Practice in Administrative Hearings, shall govern any appeals under this Subpart.

 

e)         There is no entitlement to medical services under this Subpart E and such services are available only to the extent that payments under this Subpart do not exceed the amounts appropriated for the purpose of this Subpart.  The Department may cease enrollment, change standards of eligibility, or reduce services for non-citizen children if such appropriated funds are needed to provide services to children eligible under 89 Ill. Adm.  Code 125 or if such action is deemed necessary to assure that payments do not exceed appropriation authority.

 

(Source:  Amended at 30 Ill. Reg. 16966, effective October 13, 2006)

 

Section 118.600  Limited FamilyCare Expansion (Repealed)

 

(Source:  Repealed at 37 Ill. Reg. 10201, effective June 27, 2013)

 

Section 118.700  General Description

 

This Subpart implements Section 12-4.35(a-5) of the Code that authorizes the Department to administer in Illinois the Health Benefits for Immigrant Seniors Program to noncitizens 65 years of age or older who are not eligible for medical assistance receiving federal financial participation due to immigration status. Eligible individuals are not eligible for medical assistance under Article V of the Public Aid Code.

 

(Source:  Added at 44 Ill. Reg. 19684, effective December 11, 2020)

 

Section 118.705  Definitions

 

For the purposes of this Subpart, the following terms have the meanings ascribed in this Section:

 

"Code" means the Public Aid Code [305 ILCS 5].

 

"Department" means the Department of Healthcare and Family Services and any successor agencies.

 

"FPL" means the federal poverty income guidelines established by the federal Department of Health and Human Services and published in the Federal Register.

 

"Health Benefits for Immigrant Seniors" or "Program" means the Program authorized by Section 12-4.35(a-5) of the Code and created by this Subpart.

 

"Resident" means an individual who has an Illinois residence, as established in Section 5-3 of the Code.

 

"Medical assistance receiving federal financial participation" does not include emergency medical for certain non-citizens.

 

(Source:  Added at 44 Ill. Reg. 19684, effective December 11, 2020)

 

Section 118.710  Eligibility

 

An individual may be eligible for Health Benefits for Immigrant Seniors provided that all of the following eligibility criteria are met:

 

a)         The individual is not eligible for medical assistance receiving federal financial participation other than emergency medical for certain non-citizens;

 

b)         The individual is not:

 

1)         A U.S. citizen; or

 

2)         A person lawfully admitted for permanent residence under the Immigration and Nationality Act (INA), regardless of length of residency.

 

c)         The individual is a resident of the State of Illinois;

 

d)         The individual is 65 years of age or over;

 

e)         The individual's income is at or below 100% FPL without, or after deducting, the costs of medical or remedial care as determined in accordance with 89 Ill. Adm. Code 120.60(c);

 

f)         The individual has nonexempt resources at or below the AABD MANG resource disregard level (see 89 Ill. Adm. Code 120.382). Certain resources shall be exempt from consideration in determining eligibility (see 89 Ill. Adm. Code 120.381). The resource test established in this Section will not apply any time the AABD MANG resource test is suspended;

 

g)         The individual's resources are at or below the appropriate limit for their household size, without, or after deducting, the costs of medical or remedial care as determined in accordance with 89 Ill. Adm. Code 120.60(c);

 

h)         The individual cooperates in establishing eligibility (see 89 Ill. Adm. Code 120.308); and

 

i)          The individual assigns rights to medical support and collection of payment (see 89 Ill. Adm. Code 120.319).

 

(Source:  Amended at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.715  Eligibility Exclusions and Terminations

 

a)         An individual shall not be determined eligible for Health Benefits for Immigrant Seniors if the individual is an inmate of a public institution.

 

b)         An individual's coverage under the Program shall be terminated if the individual:

 

1)         No longer qualifies as an Illinois resident; 

 

2)         Becomes eligible for medical assistance under the Public Aid Code that receives federal financial participation;

 

3)         Fails to report to the Department changes that affect eligibility for the Program;

 

4)         Asks the Department to terminate the coverage;

 

5)         Is no longer eligible based on any other applicable State or federal law or regulation;

 

6)         Failed to provide eligibility information that was truthful and accurate to the best of the individual's knowledge and belief and that affected the individual's eligibility;

 

7)         Was incorrectly determined eligible;

 

8)         Fails to complete the redetermination of eligibility within the required timeframes or provide proof of on-going eligibility; or

 

9)         Becomes an inmate of a public institution.

 

c)         Following termination of an individual's coverage under the Program, the following action is required before the individual can be re-enrolled:

 

1)         A new application is completed and submitted, or an existing application or case is reopened, and the individual is determined otherwise eligible; and

 

2)         The individual cooperates with the Department to meet the prescribed timeframes regarding a determination of eligibility found in 305 ILCS 5/11-5.1(a)(2) and 89 Ill. Adm. Code 120.308(h).

 

d)         If the Department determines the individual's exclusion or termination was in error, the individual can be re-enrolled.

 

(Source:  Added at 44 Ill. Reg. 19684, effective December 11, 2020)

 

Section 118.720  Application Process

 

a)         Individuals apply for the Program by submitting an application through any available method (see 89 Ill. Adm. Code 110.5), including on-line at ABE.illinois.gov (Illinois Application for Benefits Eligibility), by mail, in person, by phone, or another method. The Department may designate entities that may assist individuals to submit applications.

 

b)         The application shall meet all requirements of 89 Ill. Adm. Code 110.10 (Application for Medical Assistance), including provisions regarding who may apply on behalf of the individual.

 

c)         Applicants are obligated to provide truthful and accurate information for determining eligibility and to promptly report any change in information provided on the application.

 

d)         The Department may cease enrollment and deny applications that meet the eligibility requirements of this Subpart if the Department determines this action is necessary to maintain the cost of the Program within the available funding.

 

(Source:  Added at 44 Ill. Reg. 19684, effective December 11, 2020)

 

Section 118.725  Determination of Monthly Countable Income

 

a)         The earned and unearned income of the following persons, when included in the applicable standard under 89 Ill. Adm. Code 120.10, shall be counted when determining eligibility under Section 118.710, except as specified in subsections (b) and (c):

 

1)         Income of the individual;

 

2)         Income of the individual's spouse; and

 

3)         Unearned income of a dependent child under the age of 18 years who is included in the income standard as set forth at 89 Ill. Adm. Code 120.20 because it is to the advantage of the individual.

 

b)         Monthly unearned income shall be counted as described at 89 Ill. Adm. Code 120.330 through 120.347, 120.350, 120.355, 120.371 and 120.376. 

 

c)         Monthly earned income shall be considered as described at 89 Ill. Adm. Code 120.360, 120.361 and 120.371 through 120.375.

 

(Source:  Added at 44 Ill. Reg. 19684, effective December 11, 2020)

 

Section 118.730  Eligibility Determination and Enrollment Process

 

a)         The applicant's eligibility for medical assistance receiving federal financial participation will be considered as a part of the eligibility determination process for this Program.

 

b)         If the monthly countable income is at or below 100% FPL without, or after deducting, the costs of medical or remedial care as determined in accordance with 89 Ill. Adm. Code 120.60(c), the application will be approved if all other factors of eligibility under Section 118.710, including resource limits, are met. The Health Benefits for Immigrant Seniors Program income standard is 100% FPL.

 

c)         Applicants will be notified, in writing, regarding the outcome of their eligibility determination.

 

d)         Eligibility will be redetermined at least annually.

 

e)         Individuals may obtain backdated medical coverage for up to three months prior to the month of application, unless:

 

1)         the individual does not meet all eligibility requirements for one or more backdated months; or

 

2)         the Department determines that it is necessary to limit or eliminate the backdated medical coverage in order to assure payments for this Program do not exceed available annual funding. The Department shall publish notice of such a determination via the Department's website at https://hfs.illinois.gov/info/legal/publicnotices.html.

 

(Source:  Amended at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.735  Appeals

 

a)         Any person who applies for or receives benefits under the Program shall have the right to appeal any of the following actions:

 

1)         Refusal to accept, or failure to act on, an application or reapplication;

 

2)         Denial of an application or cancellation at the redetermination of eligibility, including denial based on failure to meet one or more of the eligibility requirements specified in this Subpart.

 

A)        No eligibility exists during the appeal process.

 

B)        If the appeal is upheld, the individual will have the opportunity to receive coverage back to the original application date, including possible backdated months or the cancellation month;

 

3)         Termination of coverage based on failure to continue to meet one or more of the eligibility requirements specified in this Subpart. 

 

A)        If the termination is not upheld on appeal, coverage under the Program shall be reinstated retroactive to the termination date.

 

B)        The individual may choose coverage for all or some of the months during the appeal process as long as the retroactive months are consecutive to the new initial month of regular eligibility; and

 

4)         Individuals or their representatives do not have the right to appeal Department decisions necessary to keep the cost of the Program within the annual appropriations, such as a Department decision to:

 

A)        Deny an application due to closing of enrollment for the Program;

 

B)        Make a change to the Program pursuant to Section 118.760; and

 

C)        Require more frequent redeterminations of eligibility.

 

b)         In addition to the actions that are appealable under subsection (a), individuals shall have the right to appeal any of the following actions:

 

1)         Denial of payment for a medical service or item that requires prior approval; or

 

2)         Decision granting prior approval for a lesser or different medical service or item than was originally requested.

 

c)         Individuals may initiate the appeal process by submitting a request for appeal to the Department's Bureau of Administrative Hearings.

 

d)         The request for a hearing may be filed by the individual affected by the action or by the individual's authorized representative.

 

e)         For purposes of initiating the appeal process, a copy of a written, signed request for a hearing is considered the same as the original written, signed request.

 

f)         The request for a hearing must be filed no later than 60 days after notice of the appealable action has been given.

 

g)         The provisions of 89 Ill. Adm. Code 104.Subpart A (Practice in Administrative Hearings) shall govern the handling of appeals and the conduct of hearings under the Program.

 

h)         An individual can, prior to a decision being rendered on the appeal, reapply for the Program.

 

(Source:  Added at 44 Ill. Reg. 19684, effective December 11, 2020)

 

Section 118.740  Renewals of Eligibility

 

a)         Prior to the eligibility period ending, and in sufficient time for the individual to respond to the Department's request for information, the Department or its designee will send an annual renewal notice to the individual. Failure to respond to the renewal notice when required may result in termination.

 

b)         Renewals shall be subject to all eligibility requirements and exclusions set forth in this Subpart, including Sections 118.710, 118.715, 118.725 and 118.730.

 

c)         The Department may require renewal of eligibility more frequently than annually if necessary to keep spending within available funding.

 

(Source:  Added at 44 Ill. Reg. 19684, effective December 11, 2020)

 

Section 118.745  Covered Services

 

Covered health care services shall be the same as covered services for adults described in Article V of the Code, including kidney transplants, except as provided in Section 118.750. The Department may also cover certain services, including, but not limited to, select Department of Human Services Home Services Program (HSP) services and select Department on Aging Community Care Program (CCP) services, to the extent the individual is otherwise determined eligible for those services.

 

(Source:  Added at 44 Ill. Reg. 19684, effective December 11, 2020)

 

Section 118.750  Service Exclusions

 

The following health care services shall not be covered under this Subpart:

 

a)         Nursing facility services;

 

b)         Intermediate Care Facility for Persons with Developmental Disabilities (ICF/DD) services;

 

c)         Specialized Mental Health Rehabilitation facility (SMHRF) services;

 

d)         Medically Complex for the Developmentally Disabled facility (MC/DD) services; and

 

e)         Funeral and burial expenses.

 

(Source:  Added at 44 Ill. Reg. 19684, effective December 11, 2020)

 

Section 118.755  Provider Reimbursement

 

a)         Provider participation under this Subpart shall be subject to enrollment with, and approval by, the Department. 

 

b)         Providers shall be reimbursed in accordance with the established rates of the Department or other appropriate State agency.

 

c)         Providers under this Subpart shall be prohibited from billing individuals covered under this Program for any difference between the charge amount and the amount paid by the Department.

 

(Source:  Added at 44 Ill. Reg. 19684, effective December 11, 2020)

 

Section 118.760  Program Limitations

 

There is no entitlement to medical services under this Subpart and those services are available only to the extent that payments made for individuals eligible under this Subpart do not exceed the funding available for this Program. The Department may take any action it deems necessary to assure payments for this Program do not exceed available funding, including but not limited to: ceasing or limiting enrollment, changing standards of eligibility that are not statutorily required, changing enrollment practices, changing eligibility time periods, and reducing available medical services.

 

a)         The Department shall publish notice of the opening or closing of enrollment via the Department's website at https://hfs.illinois.gov/info/legal/publicnotices.html no later than fourteen (14) calendar days prior to the action.

 

b)         Co-payments or cost sharing may be charged for services provided to the population by a health care provider as described below, except for practitioner visits scheduled for family planning services.

 

1)         Co-payment and cost sharing requirements are as follows, unless the services meet the requirement under 89 Ill. Adm. Code 120.310(b)(4) as an emergency medical condition or are otherwise covered under Department rule without a co-pay:

 

A)        Inpatient hospitalizations, $250 per hospital stay; and

 

B)        Hospital or Ambulatory Surgical Treatment Center outpatient services set forth at 89 Ill. Adm. Code 148.140(b), 10 percent of the Department rate as set forth in 89 Ill. Adm. Code 128.350(c).

 

2)         Providers are responsible for collecting co-payments.

 

3)         Providers may elect not to charge co-payments. If co-payments are charged, the co-payment may not exceed the amounts established in this Section.

 

c)         Any large public hospitals, as defined in Section 148.25(a), having received payments in excess of the rates paid to non-large public hospitals, as authorized under 89 Ill. Adm. Code 148.160 and 148.170, shall be required to reimburse the State for any excess payment in a method and amount as determined by the Department.

 

(Source:  Amended at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.780  Kidney Transplantation for Noncitizens with End-Stage Renal Disease

 

Pursuant to Public Act 98-0651, which amended Section 5-5 of the Public Aid Code, effective for dates of outpatient services and inpatient discharges on and after October 1, 2014, notwithstanding Section 1-11 of the Code and any citizenship or immigration requirements under Title 89, any noncitizen is eligible for kidney transplantation when each of the following criteria are met:

 

a)         The noncitizen:

 

1)         has end-stage renal disease;

 

2)         is enrolled with the Department with coverage limited to renal dialysis services;

 

3)         is not eligible for comprehensive medical benefits under any government funded or private insurance plan;

 

4)         otherwise meets the income, asset, and categorical requirements of the medical assistance program; and

 

5)         meets the residency requirements of Section 5-3 of the Code.

 

b)         Providers, including transplant centers, providing kidney transplantation services under this Subpart shall be pre-certified by the Department and meet all provider requirements consistent with 89 Ill. Adm. Code 148.82. Only providers, including transplant centers, enrolled in the medical assistance program, and located in the State of Illinois and St. Louis, MO shall be allowed to perform the kidney transplantation and conduct the medically necessary care identified in subsection (c).

 

c)         The kidney transplantation procedure shall be medically necessary, and providers shall be prior approved and certified by the Department to perform kidney transplantation and services under this section. Only medically necessary services associated with kidney transplantation shall be covered, including but not limited to donor and recipient transplant surgeries (including facility, surgical, and anesthesia services), recommended, to the extent covered under the medical assistance program, pre-op evaluation and screening, assessment for evaluation of recipient's ability to comply with medical and follow-up instructions, acquisition and harvesting of kidney to be transplanted, hospitalization, medical follow-up and testing, rehabilitative and home nursing services, pharmacy costs, including anti-rejection and anti-infective medicines, and incidental costs for care of complications in the peri-operative period.

 

d)         Requests for repeat kidney transplantation shall be considered in exceptional circumstances and shall require prior approval by the Department.

 

e)         Transplantation of organs other than kidneys shall not be a covered service under this Subpart.

 

f)         Clinical trials shall not be a covered service under this Subpart.

 

g)         Experimental procedures shall not be a covered service under this Subpart.

 

h)         Reports, including patient's progress, kidney function tests, complications, if any, and a list of current medications shall be submitted to the Department from the transplant center and transplant surgeon at three months after surgery and at the anniversary date of transplantation annually for five years.

 

i)          Payment for services rendered under this Subpart shall be at a single bundled rate, which shall be payment in full for all medically necessary services associated with the transplantation under this Subpart, with the exception of immunosuppressant drugs. The bundled rate shall have two components. First, the inpatient stay during which the transplant takes place will be priced using the Department's hospital rate methodology (see 89 Ill. Adm. Code 149.100) and, second, the Department will add $15,000 to this price to cover all ancillary services covered in subsection (c) except drugs covered through pharmacy as appropriate and related to the transplant. These two components will comprise the single bundled rate for transplant for the first year (12 months) from the date of kidney transplant.

 

j)          Drugs paid for under this Subpart shall be subject to all the Department's pharmaceutical protocols and procedures, including but not limited to placement on the prior approval list, preferred drug list, genetic drug preference, and utilization controls, except:

 

1)         drugs may not be shipped to any address outside the State of Illinois; and

 

2)         immunosuppressant drugs shall be paid for at the Department's prevailing rates under 89 Ill. Adm. Code 140 to a pharmacy provider approved specifically for this program. Immunosuppressant drugs paid for under this Subpart shall be covered by the Department if medically necessary and as long as the noncitizen remains eligible under this Subpart.

 

(Source:  Added at 46 Ill. Reg. 14541, effective August 8, 2022)

 

Section 118.790  Post Kidney Transplantation Services for Noncitizens

 

Pursuant to Public Act 102-0043, which amended Section 5/12-4.35 of the Public Aid Code, any noncitizen is eligible for post-transplant drugs and related services after 12 months from the date of kidney transplant, when each of the following criteria are met:

 

a)         The noncitizen:

 

1)         provides proof that they received a kidney transplant, at least 12 months prior, at a certified transplant center in Illinois, and now require medically necessary post-transplant drugs and related services. Acceptable proof shall include medical records and operative report confirming the date of and location where the transplant occurred;

 

2)         is not eligible for comprehensive medical benefits under any government funded or private insurance plan;

 

3)         otherwise meets the income, asset, and categorical requirements of the medical assistance program; and,

 

4)         meets the residency requirements of Section 5-3 of the Code.

 

b)         Requests for post kidney transplant services for noncitizens shall be reviewed for eligibility and prior authorized by the Department for medical necessity initially and annually thereafter.

 

c)         Covered benefits shall include, to the extent covered under the medical assistance program, immunosuppressant drugs; other drugs as necessary for treatment of condition(s) resulting from a kidney transplant, or those pre-existing condition(s) which necessitated a kidney transplant; an annual evaluation by patient’s primary care physician, a nephrologist, and a transplant surgeon in Illinois; and a standard battery of diagnostic tests for post-transplant patients, including blood tests, urine tests, kidney ultrasound, and kidney biopsy.

 

d)         Providers may request exceptions for additional medically necessary post kidney transplant related services, which will be reviewed by the Department on a case-by-case basis.

 

e)         As in case of other partial benefits programs for special populations covered by the Department, the programs of Kidney Transplantation for Noncitizens with End-Stage Renal Disease, and Post Kidney Transplantation Services for Noncitizens will be managed directly by the Department.

 

(Source:  Added at 46 Ill. Reg. 14541, effective August 8, 2022)

 

Section 118.800  General Description

 

Effective July 1, 2025, this program is no longer operative.

 

(Source:  Amended at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.805  Definitions (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.810  Eligibility (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.815  Eligibility Exclusions and Terminations (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.820  Application Process (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.825  Determination of Monthly Countable Income (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.830  Eligibility Determination and Enrollment Process (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.835  Appeals (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.840  Renewals of Eligibility (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.845  Covered Services (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.850  Service Exclusions (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.855  Provider Reimbursement (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)

 

Section 118.860  Program Limitations (Repealed)

 

(Source:  Repealed at 49 Ill. Reg. 8960, effective July 1, 2025)