What Are the Qualifications for Medicaid in Illinois?


Quick Answer

To qualify for Medicaid in Illinois, the applicant must be a U.S. citizen or qualified alien, an Illinois resident and have an income below 133 percent of the Federal Poverty Limit. Individuals with certain medical conditions or disabilities may also qualify. Non-citizens may be eligible for coverage of medical emergencies.

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Full Answer

For all states, income levels and factors that include disability, assets and household size determine eligibility for Medicaid. Eligibility may also depend on whether the state has expanded its Medicaid program under the National Health Insurance Affordability Program, which extends qualifying income levels to 133 percent of the Federal Poverty Limit for most adults, 208 percent for pregnant women and 142 percent for children under 18. Illinois has expanded its Medicaid program under this plan.

The Illinois Department of Healthcare and Family Services administers the Medicaid plan in Illinois and establishes eligibility requirements. For example, individuals who are not U.S. citizens or registered aliens may qualify for coverage of medical emergencies, including the birth of a child. The applicant must provide proof from a medical professional stating the treatment was due to an emergency condition. The DHFS also establishes special programs for individuals with conditions such as breast cancer, cervical cancer, AIDS and tuberculosis.

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