Ill. Admin. Code tit. 89, § 117.54 - Claims for Reimbursement
a)
The Department will not reimburse funeral or burial expenses paid by a legally
responsible relative(s).
b) Any
person, other than a legally responsible relative, who has voluntarily assumed
responsibility for a recipient's funeral/burial expenses and has paid all or a
portion of such expenses in an amount equal to or greater than the amount of
the claim for reimbursement may be reimbursed for the actual costs, or the
Department's maximum allowable amounts, whichever is less, after deduction of:
1) The decedent's assets and available
resources including any available death benefits.
2) Amounts paid and/or arranged to be paid by
a decedent's legally responsible relative.
3) Proceeds of life insurance on the decedent
payable to, or received by the claimant as the beneficiary of the
insurance.
c) All
funeral and burial expenses for which reimbursement is requested are to be
included in one claim.
d)
Eligibility for payment of funeral/burial expenses is effective from the first
day for which medical eligibility is established and continues to the last day
of the month in which cancellation is effective.
e) Funeral/burial claims for an individual
who is an in-patient in a Department of Mental Health and Developmental
Disabled (DMHDD) facility, or is a DMHDD in-patient temporarily discharged and
in a community hospital at the time of death, or is a DMHDD in-patient who is
on a home visit for a brief period of time (less than two weeks) shall not be
paid by the Department.
Notes
Amended at 18 Ill. Reg. 7403, effective April 29, 1994
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