Illinois Application for Presumptive Eligibility for Medicaid
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How to fill out Application For Presumptive Eligibility For Medicaid?
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FAQ
Eligibility limits for single adults without dependent children are presented as a percentage of the 2023 FPL for an individual, which is $14,580. Per CMS guidance, there is no deadline for states to implement the Medicaid expansion.
Effective April 2023 ? March 2024, the Medically Needy Income Limit (MNIL) in IL is $1,215 / month for an individual and $1,643 / month for a couple. The ?spenddown? amount is the difference between one's monthly income and the MNIL. It can be thought of as a deductible.
Nearly a quarter of those covered are eligible for Medicaid due to the state's expansion of Medicaid under the Affordable Care Act (ACA). As of September 2023, there were 896,755 people covered under ACA Medicaid expansion in Illinois (this page provides updated totals over time).
What's the timeline? The redetermination process began in April 2023. It will continue over a 12-month period until all Medicaid members have been contacted for an eligibility update. This will be an annual process moving forward.
The presumptive eligibility policy shall be applied to an uninsured patient as soon as possible after the patient receives hospital services and prior to issuing any bill for those hospital services. A presumptive eligibility policy is defined as the criteria used to deem a patient eligible for financial assistance.
Effective April 2023 ? March 2024, the Medically Needy Income Limit (MNIL) in IL is $1,215 / month for an individual and $1,643 / month for a couple. The ?spenddown? amount is the difference between one's monthly income and the MNIL. It can be thought of as a deductible.
The federal government is now ending continuous Medicaid coverage on March 31, 2023. Starting April 1, Illinois Medicaid must review eligibility for all Medicaid cases. This process is called redetermination.
Apply for Medicaid in Illinois Eligibility: Children ages 0-18 with family income levels up to 142% of FPL. Pregnant women with family income up to 208% of FPL. Adults with family income up to 138% of FPL.