Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 120 - MEDICAL ASSISTANCE PROGRAMS
Subpart H - MEDICAL ASSISTANCE - NO GRANT (MANG) ELIGIBILITY FACTORS
Section 120.320 - Cooperation in Establishing Paternity and Obtaining Medical Support
Universal Citation: 89 IL Admin Code ยง 120.320
Current through Register Vol. 48, No. 38, September 20, 2024
a) In accordance with 89 Ill. Adm. Code 160.30, as a condition of eligibility for medical assistance a caretaker relative or spouse included in the assistance unit, who assigned to the Department his/her rights to medical support, shall cooperate with the Department in:
1) establishing the paternity of a child born
out of wedlock, for whom the individual can legally assign rights;
and
2) obtaining medical support
and payments on his or her own behalf and on behalf of those persons for whom
the client has assigned rights.
b) Cooperating with the Department in establishing paternity and obtaining medical support payments includes:
1) appearing at such places as the
Department's offices or the offices of the Department's legal representative,
as necessary, to provide information or evidence, known to, possess by or
reasonably obtainable by the client (e.g. identity/location of the legally
responsible relative, or identity/location of a third party who has information
regarding the legally responsible relative), or attest to the lack of
information under penalty of perjury;
2) appearing and testifying as a witness at
judicial proceedings;
3) paying to
the Department any medical support payments or third party payments for medical
care; and
4) taking any other
reasonable steps to assist in establishing paternity and securing medical
support and payments (e.g. signing legal documents (complaints), submitting to
blood tests).
c)
1) If the caretaker and his/her spouse are in
the home and included in the assistance unit, both must comply with the
cooperation requirements unless the Department determines the individual is
exempt from cooperation for good cause. A caretaker relative or spouse who
fails or refuses without good cause, to cooperate in establishing paternity or
securing medical support, shall be excluded from the medical assistance
unit.
2) The remaining eligible
assistance unit members, shall be authorized medical assistance through a
representative payee, until such time as the person meets the cooperation
requirement. A representative payee is a specified relative in all cases other
than those listed in 89 Ill. Adm. Code
117.10.
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