MedicaidCoverageMedium impact
Eligibility Change in the State Renal Program Effective January 1, 2014
Illinois Medicaid - HFS·IL · Nephrology·Provider Notice
Effective date
Jan 1, 2014
We identified it
Jun 20, 2026
Summary
Starting January 1, 2014, Illinois State Renal Program eligibility changed due to the ACA - patients must now obtain health insurance coverage to remain eligible for the program. Medicare patients can still use the State Renal Program as secondary coverage, but other patients may need to transition to Expanded Medicaid or Health Insurance Marketplace plans.
Action Required
Immediately: Billing team must verify insurance coverage for all Illinois State Renal Program patients. Obtain proof of health coverage from patients as required by the department. For patients without coverage, provide information about Expanded Medicaid (adults 19-64 with limited income) or Health Insurance Marketplace enrollment. Contact Bureau of Hospital and Provider Services at 1-877-782-5565 ext. 7021 with questions.