Item 31 (shaded area) is for central office use only. It shows the Effective Date (Item 2) that benefits were authorized (Type Actions 10,11, or 12).
Cash - Item 31 shows the first month that cash benefits were authorized.
Medical - Item 31 shows the first month that medical benefits were authorized.
Do not make an entry in this item.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce Quintero, Secretary
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