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What are the eligibility requirements for Medicaid in the state of Illinois?

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Quick Answer

Eligibility requirements for Medicaid in Illinois are based on the mandatory eligibility criteria specified by the federal government, the size of a family, the number children, pregnant women and the family's income in relation to a federal index, reports Medicaid.gov. Other eligibility criteria include U.S. citizenship and residency status.

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Full Answer

The financial eligibility requirements for Medicaid in Illinois are based on a measurement of modified adjusted gross income that is then compared to the Federal Poverty Level and expressed as both a percentage and a dollar amount, as Medicaid.gov explains. As of 2015, the Medicaid level for adults in Illinois stands at 133 percent of the Federal Poverty Level, but the Patient Protection and Affordable Care Act of 2010 stipulates a coverage of 138 percent for adults, according to the Illinois Department of Healthcare and Family Services. This translates to a ceiling of $1,354 for an individual and $1,832 for a couple.

In Illinois, children are also covered under Medicaid by the Children’s Health Insurance Program. The coverage for children from birth through the age of 18 stands at 142 percent of the Federal Poverty Level, reports Medicaid.gov. Pregnant women are covered through 208 percent of the Federal Poverty Level. Compliance with citizenship and residency verification requirements are also prerequisites for Medicaid eligibility in Illinois, according to Medicaid.gov.

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