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)