Authorize medical eligibility when the person agrees to cooperate and meets the requirement that caused them to lose their eligibility. The person's medical eligibility starts the first day of the month that they agreed to cooperate. Do not start
medical until the person actually cooperates.
Complete Form 552:
NOTE: See PM 17-02-05-a for backdating medical eligibility. For persons who have now cooperated with DCSE, see WAG 24-04-08.
For active Medical cases, add the cooperating adult who was deleted from the case. See WAG 25-07-09-f for instructions on how to add the person. If the
adult is the payee for the case, remove the RPY indicator from Form 552 Item 8.
For adult-only cases denied or canceled for failure to cooperate, the person must reapply.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce Quintero, Secretary
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