Medicaid Redetermination Process

Medicaid redetermination process

by Dr. Marina Claudio

Dr. Marina Claudio

In 2020, in response to the COVID-19 Public Health Emergency, the State of Illinois paused the annual redetermination process for Medicaid eligibility. This process resumed May 1, 2023.

What is Medicaid redetermination?

This process normally happens once a year. The state may ask questions that include, what is the annual household income. They may ask you to confirm your address, and how many people are in your household.

The state will confirm your income by asking for copies of your pay stubs, and other possible sources of income such as Social Security, SSI, Unemployment, etc. You will also be asked if anyone in the house is pregnant and the expected number of babies. They will also ask if anyone in your house is covered by other health insurance.

Once you complete your response, and supply the required paperwork, the State will review your answers. This information is used to decide if you and/or your family are eligible to continue with the Medicaid program.

Not everyone has the same redetermination date. Your redetermination will take place over the course of the next 12 months. Be on the lookout for a letter from the state, requesting this information. Once you receive it, you will only have 30 days to complete your response and send it back. If you don’t send it back, you will lose your Medicaid coverage.

You can check your redetermination date using Manage My Case at www.abe.illinois.gov . This is also the best way to respond to the request.

When you get your notice, here are the ways to respond:

• Online through Manage My Case at www.abe.illinois.gov

• Over the phone by calling 1-800-843-6154

• Fill out the form and mail or fax it back

° Mail to: P.O. Box 19138, Springfield, IL, 62704

° Fax to: 1-844-736-3563

• In person at a local DHS office, or community connector location. You can call 1-800-8436154 to find a location near you.

Dr. Marina Claudio is a board-certified family physician who has been in practice since 2003. She is currently a Medical Director at Molina Healthcare of Illinois/Wisconsin. She's a graduate of the University of Illinois College of Medicine at Chicago and completed her residency in Family Medicine at the UIC/Advocate Illinois Masonic Family Medicine Residency Program.