MedicaidAdministrativeMedium impact
All Kids Application Agent and Medicaid Presumptive Eligibility (MPE) Provider Alert
Illinois Medicaid - HFS·IL · OB-GYN, Family Medicine, General Practice·Provider Notice
Effective date
Sep 15, 2015
We identified it
Jun 20, 2026
Summary
Illinois updated Medicaid Presumptive Eligibility (MPE) requirements for pregnant women, removing proof of pregnancy requirements and clarifying income calculations, SSN requirements, and family size determinations. Providers must use new forms 3089 and 3090D and follow updated eligibility guidelines.
Action Required
Immediately: Update MPE application processes to accept pregnancy declarations without proof, use revised Form 3089 for applications and Form 3090D for denials, calculate gross monthly income without deductions for eligibility determination, mark 'SSN not available' for applicants without SSN in online applications, and train staff on new family size calculation rules based on applicant age.