TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER b: ASSISTANCE PROGRAMS
PART 123 COVERING ALL KIDS HEALTH INSURANCE PROGRAM
SECTION 123.240 ELIGIBILITY DETERMINATION AND ENROLLMENT PROCESS


 

Section 123.240  Eligibility Determination and Enrollment Process

 

a)         If the monthly countable income is above 200% of FPL and at or below 300% of FPL, as determined using the MAGI methodology, and all other eligibility requirements of this Part are met, the child will be enrolled in All Kids Premium Level 2.

 

b)         Applicants will be notified, by written notice, pursuant to 89 Ill. Adm. Code 102.70, regarding the outcome of their eligibility determination.

 

c)         Eligibility determinations for the program made by the 15th day of the month will be effective the first day of the following month.  Eligibility determinations for the program made after the 15th day of the month will be effective no later than the first day of the second month following that determination.

 

d)         For children enrolled in All Kids Premium Level 2, the duration of eligibility for the program for children will be 12 months unless one of the events described in Section 123.210(a)(1) or (b)(1) occurs.  The period of eligibility will commence when the first child in a case is covered under the program.  Children added to a case after the eligibility period begins will be eligible for the balance of the eligibility period.

 

e)         Children for whom application to the program is made before the beginning of the fourth month following the month of the child's birth may obtain backdated coverage for a period beginning with the child's day of birth.  This coverage shall be subject to the family paying the premiums for the months of backdated

coverage requested.

 

(Source:  Amended at 38 Ill. Reg. 5989, effective February 26, 2014)