An applicant who meets nonfinancial factors of eligibility for AABD Cash or TANF, and who has enough income to meet basic needs, may qualify for one of the Family Health Plans or AABD Medical.
A long term care applicant who has more income than the income standard and/or more nonexempt resources than the resource limits is to be approved as spenddown, unless they stated in writing that they do not want to be enrolled for spenddown.
A Family Health Plans applicant who has more income than the income standard, or an AABD community spenddown applicant who has more income than the income standard and/or more nonexempt resources than the resource limits, is to be approved as spenddown if they meet certain conditions. The conditions for approval of a community spenddown case are:
An approved spenddown client is not eligible for payment of medical expenses until they have medical bills (paid or unpaid) that equal or exceed their monthly spenddown amount. When this happens, they have met spenddown and they get medical coverage. Allowable medical expenses are paid by HFS beginning the day spenddown is met.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce Quintero, Secretary
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