MedicaidCoverageMedium impact
Health Benefit Coverage for Immigrant Adults Aged 42 through 64 Years and Continued Emergency Medical Coverage for Persons Not Meeting Immigration Status
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Illinois expanded Health Benefits for Immigrant Adults program to cover non-citizens aged 42-64 who are ineligible for Medicaid due to immigration status. Coverage began July 1, 2022 for ages 42-54, with no copayments and backdated eligibility up to 3 months available.
Action Required
Immediately: Billing team must contact 877-782-5565 to request manual override for pharmacy claims processing for immigrant adults aged 42-64 in the Health Benefits program. Verify patient eligibility through ABE.Illinois.gov and use emergency medical coverage process for federal matching when applicable to preserve state program resources.