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Changes coming to Medicaid
What is Changing?
Starting in January 2027, new federal rules may affect some Medicaid customers. Some adults may need to work, go to school, engage in community service, or participate in training to get or to keep Medicaid coverage. Requirements vary by individual circumstances, and many will be exempt.
Many people will not be affected.
If you need to take any action, Illinois Medicaid will contact you first. Those who do not meet requirements may lose coverage.
Right now, the most important thing you can do is make sure your contact information is correct.
If you get mail from the State of Illinois, open it right away. It may be about your Medicaid coverage.
Please update your address, phone number, and email today:
Visit ABE.Illinois.gov and click “Manage My Case.” There you can view notices, check coverage, update your information and more – all in one place.
Or call 877-805-5312
Updating your contact information does NOT mean your benefits are changing.
Key changes the federal government plans to make over the next 3 years include:
New Mandatory Work Requirements – January 1, 2027
Non-disabled Medicaid customers aged 19 to 64 without dependents under age 14 must prove they meet certain work, education, and/or community service requirements in order to be eligible for coverage.
Supplemental Nutrition Assistance Program (SNAP) work requirements are currently separate from the new Medicaid Work Requirements. Find more information about the new federal SNAP rules by visiting the Illinois Department of Human Services SNAP Federal Impact Center webpage and viewing the “SNAP Rules are Changing” resource.
More Frequent Medicaid Renewals for ACA Medicaid Expansion Customers – January 1, 2027
Currently, the state is required to verify Medicaid customer eligibility annually. The new law requires that states verify eligibility for customers in the Affordable Care Act (ACA) expansion population every six months.
New Costs for Some ACA Medicaid Expansion Customers – October 1, 2028
The law will impose new cost sharing and co-payments for some Medicaid customers within the ACA expansion population.