Ill. Admin. Code tit. 89 § 688.20

Current through Register Vol. 48, No. 43, October 25, 2024

Section 688.20 - Eligibility Requirement

An individual under age 60 whose Long-Term Care Partnership Program benefits have been exhausted shall be considered eligible for the DHS Home Services Program, as set forth in 89 Ill. Adm. Code 682, with the following exceptions:

a) points scored on the Determination of Need (DON) need only be at least 15 points on Part A of the DON, at least 10 points of which may be earned on the Mini-Mental State Exam (MMSE); and

b) Non-exempt assets:

1) cannot exceed the sum of qualifying insurance benefit payments made as the result of coverage under a Long-Term Care Partnership Insurance Policy as described in 50 Ill. Adm. Code 2018 provided that the person has received all of the qualifying insurance benefit payments that are payable under the policy plus non-exempt assets as contained within 89 Ill. Adm. Code 682.200; or

2) shall be disregarded for a person who purchased a certified Long-Term Care Partnership Insurance policy with an amount of coverage equal to, or greater than, the average of 4 years of long-term care services in a nursing facility, provided that the person has received all the qualifying insurance benefit payments that are payable under the policy.

Ill. Admin. Code tit. 89, § 688.20

Amended at 22 Ill. Reg. 5890, effective March 13, 1998