As many as 700,000 Illinoisans who get health care through Medicaid are at risk of losing their coverage. COVID-19 pandemic emergency measures suspended the requirement that people had to prove their eligibility, but now those requirements are back.
Hundreds of thousands of Illinoisans who currently get health care through Medicaid are at risk of losing their coverage.
Samantha Olds Frey: Normally, in a non-pandemic world, everybody who’s on Medicaid has to renew their eligibility to demonstrate they’re still eligible for the program on an annual basis. Since the public health emergency went into effect, the federal government said we don’t want people losing health care coverage during a public health emergency. So no state within the country has been doing redetermination for Medicaid eligibility since March of 2020.
Will every Medicaid recipient in the state have to prove their eligibility this year or is the state able to identify people who they think may no longer be eligible and focus on those people first? Frey: That’s exactly our biggest concern. So it will depend on when they realize they’ve lost coverage. There is in Illinois a 90-day reinstatement period. So if they realize they’ve lost coverage within the first 90 days, they can then submit their paperwork and once it’s processed, it will be retroactive back to the day that they lost coverage. But if it’s 91 days, 93 days … it’s a new application and they have a gap in coverage.Frey: Typically it is longer.
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