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• Illinois submitted its seventh amendment on September 1, 2005 to rescind unborn coverage. The State withdrew this amendment on February 15, 2007.
● Illinois submitted its eighth amendment on March 31, 2009 to increase the income limit to 500 percent of the FPL and provide coverage to immigrant children who do not meet the 5- year bar.
Children Covered Under Program
In FFY 2009, the State reported that 376,618 children were ever enrolled in its CHIP program.
Administration
The Illinois Department of Public Aid administers the program.
Health Care Delivery System
Children receive health care services through fee for service and prepaid providers included in the current Medicaid Program.
Benefit Package
Under All Kids Share and All Kids Premium, the State provides a benchmark equivalent coverage. The coverage is equivalent to the State employee health plan.
Cost Sharing
• Premiums are not imposed for families at or below 150 percent of the FPL (All Kids Share). For families between 150 percent and 200 percent (All Kids Premium) with one child, premiums are $15 per month, with two children $25 per month, and $30 per month for three or more children. For families between 200 percent and 300 percent (All Kids Premium level 2) with one child, premiums are $40 per month, with two or more children $80 per month. For families between 300 percent and 400 percent (All Kids Premium level 3) with one child, premiums are $70 per month, with two or more children $140 per month. For families between 400 percent and 500 percent (All Kids Premium level 4) with one child, premiums are $100 per month, with two or more children $200 per month.
• A family with an income above 133 percent and below 150 percent of the FPL (All Kids Share) has a $2 copayment for medical visits and prescriptions, and non-emergency use of the emergency room. Cost-sharing cap is $100 per family. A family with an income above 150 percent through 200 percent of the FPL (All Kids Premium) has a $5 copayment for medical visits, a $3 copayment for generic and $5 copayment for brand-name prescriptions and a $25 copayment for non-emergency use of the emergency room. Cost-sharing cap is $500 per child. A family with an income above 200 percent through 300 percent of the FPL (All Kids