Features of Systematically Generated Form IL444-0360C Notice of Decision

The IL444-360C Notice Of Decision has 5 sections. IES will generate the following fragments as appropriate:

Summary Section provides information on: notice date; date of application or date of change; What action is being taken; the policy citation for the action; information on how to use their LINK card (if applicable); and information on how to use Manage My Case in ABE.

Cash Section - see WAG 01-06-02-a.

Medical Section provides information on: who is eligible for medical assistance; what type of medical assistance each individual is eligible for; detailed information on medical assistance program requirements for each type of medical assistance being approved; medical backdate information; common services provided under the medical assistance program; any copayment requirements by program; and the calculation(s) used to determine each type of medical assistance each approved individual is eligible for.

SNAP Section - see WAG 01-06-02-d .

Additional Information Section provides information on: reporting requirements; rights and responsibilities; appeal rights; Manage My Case; and when an approved representative is named, information on approved representative policy.

loading…

Features of Systematically Generated Form IL444-0360C Notice of Decision

Official source

The IL444-360C Notice Of Decision has 5 sections. IES will generate the following fragments as appropriate:

Summary Section provides information on: notice date; date of application or date of change; What action is being taken; the policy citation for the action; information on how to use their LINK card (if applicable); and information on how to use Manage My Case in ABE.

Cash Section - see WAG 01-06-02-a.

Medical Section provides information on: who is eligible for medical assistance; what type of medical assistance each individual is eligible for; detailed information on medical assistance program requirements for each type of medical assistance being approved; medical backdate information; common services provided under the medical assistance program; any copayment requirements by program; and the calculation(s) used to determine each type of medical assistance each approved individual is eligible for.

SNAP Section - see WAG 01-06-02-d .

Additional Information Section provides information on: reporting requirements; rights and responsibilities; appeal rights; Manage My Case; and when an approved representative is named, information on approved representative policy.