PM 03-15-02.

For the requirement to accept a job that is suitable employment, see PM 03-15-05 for a definition of suitable employment.

Exemption Due to Physically or Mentally Unable to Work

A person who is temporarily or chronically ill is exempt from the SNAP work requirement.

revised text FCRC Process

At initial application and REDE the FCRC will make the determination to exempt a customer.  If a nonexempt customer later claims that they are physically or mentally unable to work or participate in a SNAP E&T activity a determination will be made by the Client Assessment Unit (CAU).

Temporary Illness

The FCRC exempts a person due to a temporary illness if there is medical evidence provided by the client or other evidence that the illness or injury is serious enough to temporarily exempt the client. Evidence for temporarily exempting a client includes, but is not limited to:

  • observing a cast on a broken leg; or
  • receipt of Workers' Compensation; or
  • knowledge of a scheduled surgery or recuperation from surgery.

NOTE: Minor ailments and injuries such as colds, broken fingers, or rashes are not normally serious enough to exempt a person.

Chronic Illness

The FCRC exempts a person who is mentally or physically unable to work due to a chronic illness if a physician or licensed or certified psychologist, or psychiatrist finds that a physical or mental impairment, either by itself or in conjunction with age or other factors, prevents the client from working or participating in FSE&T. The receipt of disability benefits can also verify the exemption.

Verify the client's claim of chronic illness as follows:

  • Receipt of disability benefits from SSI, SSA, Railroad Retirement, or AABD.
  • Receipt of government, or private temporary or permanent, disability benefits.
  • Statements from a physician, or licensed or certified psychologist or revised textpsychiatrist, verifying the client's chronic illness.
  1. Enter code 2 in Item 73. revised text
  2. Document the proof used to support the exemption in the case record.
  3. Establish an exemption review date based on the information obtained and the client's condition.
  4. When a person exempted due to a temporary illness becomes physically and mentally fit, change the client's Item 73 status code to 9, unless another exemption reason applies.

new textClient Assessment Unit (CAU) Process 

The Client Assessment Unit (CAU) determines if a person who did not claim a physical or mental exemption at initial application or REDE is able to participate in an SNAP E&T activity.

Form 183A, Medical Evaluation-Physician's Report

  1. (FCRC) Completes the top section of Form 183A, Medical Evaluation - Physician's Report.
  2. (FCRC) Gives Form 1721, Instructions to customer with Form 183A and request that a physician, licensed or certified psychologist, or psychiatrist complete the form and provide medical records that support the customer's claim that they cannot work or participate in SNAP E&T activities. Tell the customer to return a completed Form 183A and medical records within 30 days.
  3. (FCRC) Enters Item 80 code 656 DRD with the month/year the customer claimed a barrier and SUP. BY. 'P' to indicate a medical barrier request is pending.
  4. (FCRC) When Form 183A and/or medical records are returned within 30 days completes Form 183B, Medical Evaluation- Social Information and Form 183F, Client Assessment Unit Memorandum as indicated below.
  5. (FCRC) If Form 183A and/or medical records are not returned within 30 days and the customer has not requested additional time send Form 2846G, Conciliation Appointment Notice to schedule a conciliation meeting.
  6. (FCRC) If the customer attends the conciliation meeting determine if good cause exists (PM 03-15-05, PM 21-06-10-d.  If good cause exists assist the customer in obtaining the information. If good cause does not exists and the customer requests additional time to provide Form 183A and medical records give the customer a second Form 1721 and allow 10 days to return the medical information.
  7. (FCRC) Impose a sanction if Form 183A and/or medical records are not returned within 10 days.

Form 183B, Medical Evaluation- Social Information  

  1. (FCRC) If Form 183A is returned, complete Form 183B, Medical Evaluation -Social Information based on the customer's statements, worker's observation and other available information.  Complete the CAU process even if only a  completed Form 183A is returned without medical records.
  2. (FCRC) Enter the following information on Form 183B:
    1. Enter the application date. For active cases enter N/A.
    2. Enter a complete phone number, including area code, and
    3. The client's complete work history, including dates worked, type of business, job title and description of duties.
    4.  Reason job ended.
    5.  Sign and date form.

Form 183F, Client Assessment Unit Memorandum

  1. (FCRC) Completely fill in the customer data accurately on Form 183F. 
  2. (FCRC) Send Form 183A,  Form 183B, Form 183F in a complete packet, including medical records to CAU via:
Scan and Email: dhs.cau@illinois.gov.
Fax: (217) 524-8142
U.S. Postal Mail:

Client Assessment Unit (CAU)

P.O. Box 19492

Springfield, IL 62794-9442

Inter-office mail

Client Assessment Unit (CAU)

100 S Grand Avenue East

Springfield, IL 62762

CAU Requests Additional Information

  1. (FCRC) Contacts the customer for any additional medical information, if requested by CAU, such as:
    1. medical information for the 12-month period preceding the application date, 
    2. hospital records, including follow-up notes from the treating physician, 
    3. admission summary, discharge summary and reports of all tests such as CT, MRI, X-Ray, EKG, and laboratory findings.
  2. (FCRC) When the information is returned, resubmits the entire packet to CAU. If the customer does not provide the additional information do not resubmit to CAU. Consider the person able to work.

CAU Decision

  1. (CAU) Sends Form 183C to FCRC with disposition determination indicating approved and the determination review date (DRD).
  2. (FCRC) Enters Item 80 code 156 DRD with the review month and year under PERSONS and the applicable code under SUP. BY (see WAG 27-80-04-c). Enters code 2 in Item 73.
  3. (FCRC) Notifies the customer of the CAU's decision to approve and allow the exemption.
  4. (FCRC) Reviews the customer's medical condition when indicated by Item 80 code 156 DRD.  Follow the same instructions as for establishing a medical barrier. When submitting the current medical evaluation forms, attach all previous CAU packets (including Forms 183A, 183B, 183C and related medical information) that relate to the medical condition.
  5. (FCRC) If CAU decides the customer continues to have a medical barrier, update the review month and year under PERSONS in Item 80 code 156 DRD as indicated on Form 183C.
  6. (FCRC) If CAU decides that the customer no longer has a medical barrier notify the customer that they are now required to participate in SNAP E&T. Remove Item 80 code 156 DRD and change Item 73 from 2 to 9 to indicate a mandatory participant. If CAU denies the request and recommends Vocational Rehabilitation Services, complete Form 2151, scan and email the referral to Vocational Rehabilitation Services.

Vocational Rehabilitation Services

  1. (Vocational Rehabilitation Services) Schedules customer for Intake, and
    1. Returns Form 2151 to the FCRC showing compliance and customer's plan, or
    2. Returns Form 2151 to the FCRC showing customer failed to comply.
  2. (FCRC) Sends Form 2846G, SNAP E&T Conciliation Appointment Notice, to schedule a conciliation meeting. 

Customers with Learning Needs Disability

  1. (FCRC) completes Form 4001A and Form 4728 with the customer and determines if there is a needs barrier.
  2. If the customer scores 11 or less, sends customer to an activity: or
  3. If the customer scores 12 or higher, completes, scans and emails Form 2151 and Form 4020A, Checklist for Referral to Vocational Rehabilitation Services.

Exemption Ends

When a customer is no longer exempt change Item 73 status code to 9, unless another exemption reason applies.