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Medicaid in Illinois

Medicaid is changing. Let's keep you covered.

Starting in 2027, many adults on Medicaid in Illinois will need to show work, school, training, or volunteer hours, and renew more often. This two-minute check shows what the changes might mean for you, and our team can help with the rest.

What's changing

The new rules, in plain terms.

Who

Adults ages 19 to 64

People on Medicaid who don't have Medicare and don't have a child under 18 at home. Many people in this group will qualify for an exemption.

What

About 80 hours a month

Of work, school, job training, or volunteering, or a mix of them. Earning about $580 or more a month also counts.

When

Your first renewal in 2027

The rules start at your first renewal on or after January 1, 2027. After that, renewals for this group come every 6 months instead of once a year.

Self-check

See what it might mean for you.

Five short questions. There are no wrong answers, and "I'm not sure" is always fine.

Your answers stay on this page. Nothing is saved or sent anywhere, and this check is not a decision about your coverage.

If you got a letter from the state about your Medicaid, please don't set it aside. We can go through it with you.

About 2 minutes

Ready when you are.

We'll ask about Medicare, your age, who lives with you, and how you spend a usual month.

What you can do now

Three steps to stay covered.

  1. Open your mail from the state

    Letters come from Illinois HFS (Healthcare and Family Services). They tell you what's changing for you and when your renewal is due. If you're asked for something, you'll usually have 30 days to send it.

  2. Keep your contact info current

    Log in at abe.illinois.gov and choose "Manage My Case," or call the state at 1-877-805-5312. Check your address, phone, and email so the state can reach you.

  3. Talk with PWP

    We can help you read your letter, see whether an exemption fits, and find work, classes, training, or volunteering that counts if you need it.

We're here to help

Talk to someone at PWP.

Call us Monday to Friday, 9am to 5pm, or send a message and a member of our team will get back to you. You don't need to have your letter figured out before you reach out.

Questions for the state about your case? Call the HFS Health Benefits Hotline at 1-877-805-5312 or ABE Customer Care at 1-800-843-6154.

This page is a guide to help you prepare. It is not a decision about your Medicaid, and it does not mean you are losing coverage. Only the state decides who the new rules apply to and who is exempt. Details reflect Illinois HFS guidance as of September 2026 and may change.