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MAGI-BASE ELIGIBILITY VERIFICATION PLAN

Date Updated: 5/10/2024 (Insert Medicaid, CHIP or Both): Medicaid & CHIP

State: Illinois Section C. Additional Factors of Eligibility for Separate CHIP Eligibility Factor Self-Attestation Accepted without Additional Verification Self-Attestation Accepted with Post-Enrollment Verification (Y/N) Electronic Data Source Used (Y/N) If Yes, please describe in comments Paper Documentation Required from the Individual (Y/N) Non- Applicable (N/A) Comments 1. Applicant does not have other coverage No Yes Yes No Must be applied HFS takes all reasonable measures to ascertain the legal liability of third party payers via the cross match of eligible recipients/clients with Illinois health insurance carriers as required by Section 6035 of the Deficit Reduction Act of 2005. These same policies apply to IL's Medicaid Expansion applicants as well. (Similarly, for IL's Medicaid Expansion population, questions 2-6 are N/A). 2. Applicant does not have access to affordable ESI N/A Illinois' Title XXI State Plan Amendment #8 has been approved. This criteria is applied at renewal to cases with income in excess of 200% FPL. 3. When child has had coverage (as applicable to N/A