1. Complete Form 552:
NOTE: Do not use this to approve medical eligibility for canceled cases or cases that meet the monthly spenddown but not for the current processing month. See WAG
18-05-10 for canceled cases or WAG 15-08-14-a for a one-month only MediPlan card.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce Quintero, Secretary
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