Illinois Administrative Code
Title 59 - MENTAL HEALTH
Part 131 - CHILDREN'S MENTAL HEALTH SCREENING, ASSESSMENT AND SUPPORT SERVICES PROGRAM
Section 131.30 - Eligibility
Universal Citation: 59 IL Admin Code ยง 131.30
Current through Register Vol. 47, No. 52, December 29, 2023
A child eligible for services provided under this Part is:
a) An individual for whom DCFS is legally responsible;
b) An individual under 21 years of age who is enrolled, pursuant to 89 Ill. Adm. Code 118, 120, 123 or 125, in one of the medical programs administered by HFS, except that any child who is enrolled in a managed care organization is not eligible; or
c) Subject to funding that is appropriated and available to DHS-DMH for the SASS program, an individual who is under 18 years of age and who meets one of the following criteria:
1) An individual who, following
submission of a completed application, does not qualify under subsection
(b);
2) An individual who meets
criteria for the DHS-DMH target population (see Appendix A) and requires
intensive community-based services in the SASS program, has no other means of
payment as determined by DHS-DMH, and is seeking public payment for services
covered under this Part; or
3) An
individual whose family is unable, unwilling, or refuses to apply for medical
assistance (e.g., the family may not be able to comply with the requirement to
gather the necessary information required to file an application for Medicaid
or All Kids due to medical reasons, such as impending surgery or long term
medical illness, or the family refuses to comply because family members are
undocumented), or if the SASS agent, hospital or community mental health
provider finds it impossible to assist the family in applying, may be permitted
an exception to this requirement only in these instances. A request for an
exception may be made by contacting DHS-DMH. A hospital or community mental
health provider may report that it finds it impossible to assist the family in
applying only if the family refuses to apply due to incapacitating medical or
psychiatric illness reasons, or because family members are
undocumented.
Amended at 31 Ill. Reg. 10635, effective July 13, 2007
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