Section 120.14   Presumptive Eligibility for Children

a)         A child younger than 19 years of age may be presumed eligible for medical assistance under this Part if all of the following apply:

1)         an application for medical benefits has been made on behalf of the child;

2)         the child is a resident of Illinois as described in Section 120.311;

3)         the child is not an inmate of a public institution as described in Section 120.318(a);

4)         the child's family's monthly income, as stated on the application, is at or below 133 percent of the poverty level;

5)         the State employee who registers the application has no information that the child is not a U.S. citizen or a qualified non-citizen as described in Section 120.310 or 89 Ill. Adm. Code 118.500; and

6)         the child has not been presumed eligible under this Part 120 or 89 Ill. Adm. Code 118 or 125 within the past 12 months.

b)         Entities qualified to make a determination of presumptive eligibility include State employees involved in enrolling children in programs under this Part 120 or 89 Ill. Adm. Code 118 or 125.

c)         The presumptive eligibility period begins on the date of application.

d)         The presumptive eligibility period ends on the date the State's determination of the child's eligibility under this Part 120 or 89 Ill. Adm. Code 118 or 125 is updated in the data system.

(Source:  Added at 28 Ill. Reg. 13621, effective September 28, 2004)