OBSOLETE POLICY

CHIP MANUAL

 

701 Application

Effective: August 1, 2010 - February 1, 2012

Previous Policy

Most children must apply to be enrolled in CHIP.  An application consists of a properly completed application form. (See Section 102-1 for information about application dates.)

Children may be added to an open CHIP case at any time during the certification period without requiring a new application. This includes newborn or newly adopted children of open CHIP families and children who are losing Medicaid coverage. See Section 701-5 and 804-3 for more information.

All enrollees have the right to register to vote at application. Ask if they wish to complete the voter registration form, or check to see if they have marked that they want to register on the application form. See Section 101 for additional information on voter registration.

  1. The enrollee, the enrollee’s parent, or an adult who has assumed responsibility for the care or supervision of an enrollee, must apply to be enrolled in CHIP.

    1. When unusual circumstances prevent an enrollee from completing the enrollment process, a representative may apply for him. The enrollee, if 18 years old or an emancipated minor, their parent, or legal guardian, must indicate in writing who is authorized as their representative.   The enrollee or the person who has assumed responsibility for them, must sign the application form. If they cannot write, they must make their mark on the forms and have at least one witness to the signature.

    2. If the enrollee needs a representative but is unable to make a choice either in writing or orally, the Regional Manager or his designee may designate an authorized representative.

    3. When DCFS has custody of a child and the child is placed in foster care, the Division of Child and Family Services is responsible for completing the application process.

  2. If the applicant requests help in completing the application process, the Local Office shall assign someone to assist him.

  3. Individuals may apply in person, through the mail, by fax, or online.

  4. When an application is received that is not signed, the applicant must either come in and sign the application, or mail in a signed signature page within the regular processing time frame in order to complete the application process and retain the original date of receipt as the date of application.

  5. When an application is received, an interview may be helpful in gathering information, but is not required.

  6. If an application is incomplete, the agency will contact the applicant and offer ways for them to complete it. The application must be completed by the end of the application processing period, or it will be denied. If the application is completed by the 30th day after a denial, the new application date is the date the application is completed.

See Section 102-1 #9 when an application is received while another application is already pending.