1. a) Participant delay is defined as the number of calendar days a determination of eligibility is delayed because of the participant's/authorized representative's failure to provide documentation supporting their eligibility.
2. b) In the event that a participant's eligibility cannot be determined due to the participant's/authorized representative's failure to provide documentation within 90 calendar days after the date of receipt of the completed referral form, the request for services shall be denied.

The 30 calendar day time limit for completion of a determination of a participant's eligibility may be extended by any delay caused by the participant.

(Source: Amended at 48 Ill. Reg. 11053, effective July 16, 2024)