Medicaid Redetermination
Illinois Medicaid members must renew their coverage when time for redetermination.
Taking action on time helps you keep your health insurance and avoid gaps in coverage.
What is Medicaid Redetermination?
Medicaid redetermination (also called renewal) is the process used to make sure you still qualify for Medicaid benefits. Illinois reviews Medicaid eligibility on a regular basis.
When it is your time to renew, you may receive a notice asking you:
- Review your information
- Update any changes
- Submit documents
- Confirm that your information is correct
- Complete a renewal form
Even if nothing has changed, you may still need to complete the renewal process in order to maintain your benefits.
Why This Matters
If you do not complete your renewal on time:
- Your Medicaid coverage may end
- You could lose access to healthcare services
- You may lose prescription drug coverage
- You could experience gaps in medical care
Do not ignore renewal notices.
Remember
Information to Update
4 Steps to Keep Your Coverage
Taking a few simple steps can help you avoid gaps in your health coverage.
Make sure your contact information is up to date, watch for renewal notices from Illinois Medicaid, complete your renewal on time, and submit any requested documents as soon as possible.
Following these four steps will help ensure you continue receiving the Medicaid benefits you and your family rely on.
Changes to Medicaid Effective January 1, 2027
What is changing?
Beginning January 1, 2027, some adults may need to meet work, education, training, or community engagement requirements to keep Medicaid coverage.
Activities may include:
- Working
- Attending school
- Job training
- Volunteer service
- Community service programs
Illinois Medicaid will notify members who need to take action.
Some adults ages 19–64 may be required to meet new requirements.
Many groups are expected to be exempt, including:
- Children
- Adults age 65 and older
- Many parents and caretaker relatives
- People with disabilities
- People with certain medical conditions
- Individuals who qualify for other exemptions
Illinois Medicaid will provide specific guidance to affected members.
Beginning January 1, 2027, some ACA Expansion Medicaid members may need to complete eligibility reviews every six months instead of once per year.
This means:
- More frequent renewal notices
- More frequent eligibility checks
- Additional reminders to update information
Keeping your contact information current will become even more important.
Manage Your Medicaid Benefits
In Person
You can receive in person assistance through:
- Local Illinois Department of Human Services (DHS) offices at 800-843-6154
- Our Benefits enrollment specialists at 773-751-7062
By Phone
Call our Benefits Services Team at 773-751-7062 or schedule a virtual appointment for help with:
- Renewals
- Updating information
- Questions about coverage
- Eligibility concerns
We can help you with your renewal at no cost.
Frequently Asked Questions
You may still need to complete your renewal when Illinois Medicaid requests it.
Illinois Medicaid will send you a notice by mail, and information may also be available through your ABE account.
Your Medicaid coverage may end. Contact Illinois Medicaid immediately if you miss a deadline.
Yes. Many members can complete their renewal through ABE Manage My Case.
You may be asked for:
- Income information
- Pay stubs
- Proof of address
- Household information
- Other eligibility documents
No. Many Medicaid members will not be affected. Illinois Medicaid will contact members who need to take action.
Some Medicaid members may continue renewing annually, while some ACA Expansion members may be reviewed every six months.
You can use the chatbot located on this page, you can call our Benefits Services team at 773-751-7062, or you can call your local Illinois DHS office at 800-843-6154.
Need Help?
We can help you
- Understand your renewal notice
- Update you information
- Submit required documents
- Answer questions about Medicaid coverage
Give us a call at 773-751-7062 or schedule your virtual appointment today!
