Illinois Administrative Code
Title 59 - MENTAL HEALTH
Part 120 - MEDICAID HOME AND COMMUNITY-BASED SERVICES WAIVER PROGRAM FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
Subpart D - OPERATIONAL PROCEDURES
Section 120.150 - Eligibility determination
Current through Register Vol. 48, No. 12, March 22, 2024
a) The Department of Public Aid shall determine the individual's eligibility for medical assistance under DPA's rules at 89 Ill. Adm. Code 120.
b) The Department shall assign a PASARR agent to all individuals requesting services. The PASARR agent shall be responsible for compiling information as needed for the determination of eligibility. The review of eligibility shall include the criteria included in Section 120.140 of this Part.
c) Individuals or guardians shall be given the choice of receiving State-operated developmental center, community ICF/MR or Medicaid home and community-based services.
d) Eligibility for services under this Part may be denied for the following reasons:
e) A qualified mental retardation professional shall conduct a redetermination of Medicaid home and community-based services waiver program eligibility within 12 months after the last eligibility determination or redetermination. A redetermination shall also be conducted if, before 12 months have elapsed, there is a change in circumstances affecting eligibility (see Section 120.120(b) of this Part). A redetermination shall include an examination of criteria identified in Section 120.140 of this Part. A redetermination of the presence of developmental disability is not required.