If reason is 01-05 for Medical case or for a TANF Cash case where the mother is not the grantee, Form 3180 is not signed.
Enter 00 for the Item 80 code 165 reason. The system removes the 4 in Item 78 to restore medical. It also removes Item 90 code 512 right away if the level is 1 or it is at least 3 months after the code 165 DATE. If the level is 2 or 3 and it is less than 3 months after the DATE, the system removes code 512 for the 3rd month. Issue a supplement, if necessary, to cover needs from the date of cooperation or the date the sanction began, whichever is later, until the first day of the regular roll fiscal month. Prorate the code 512 to determine the amount. Use Item 80 Needs code 255 to issue the payment.
If the case was cash at the time of the sanction (code 165 in Item 80), change the client's Item 78 from 4 to a dash and the code 165 reason to 00 and SWAP to Cash, if otherwise eligible. The beginning date of the cash is the date the client told the caseworker they wanted to cooperate (date of Form 3180), or the date of eligibility for cash, whichever is later.
If the case was Medical at the time of the sanction, add the client to the case and change SNAP status. Remove the representative payee indicator (RPN). Do not SWAP to Cash unless client completes Form 2905. The beginning date of the medical is the first day of the calendar month in which the client told the caseworker they wanted to cooperate.
Restore medical for an adult-only case when the client is reapplying after being canceled for failing to cooperate with DCSE.
Restore medical for an AABD Cash case by completing Form 552 as follows. A new application is not required to restore medical to a client receiving AABD Cash.
Item 2 -Complete.
Item 3 -Enter 31.
Item 6 -Complete.
Item 33 -Enter TAR 62.
Item 44 -Complete.
Item 77 -Enter as 6 digits, the first day of the month the adult becomes eligible for medical.
Item 78 -Change code 4 to a dash.
If the children are receiving Medical Only, change the payee code in Item 8 to RPY.
To restore medical on a canceled Medical case, the client must complete a new application.
If SNAAP will be changed to the AABD Medical case, change the payee's Item 78 code on the Medical Only case from 8 to X.
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
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