Use the following application forms for the programs indicated:
||Application for SNAP benefits
||Application for Cash, Medical and SNAP Benefits
Mail-in or DHS web application for all programs.
Application for Cash, Medical and SNAP Benefits
||Mail-in Application for Medical Benefits
Mail-in application for all medical programs. Can also be used by a hospital, long term care facility, or supportive living facility.
||Application for Payment of Medicare Premiums, Deductibles and Coinsurances
Medicaid payment for Medicare cost sharing expenses only.
||Application for All Kids, FamilyCare and Moms & Babies Health Insurance
Medical application for Family Health Plans used by All Kids Application Agents.
||Application for Medical Assistance - Short Form
Use this application only for persons who were in spenddown status within the last 4 months of the month of application and were centrally canceled due to not meeting their spenddown obligation.
||All Kids Moms & Babies (Medicaid Presumptive Eligibility Application)
Mail-in application used by qualified providers.
Application for Benefits Eligibility (ABE)
Applicants submit applications for Cash, Medical, Medicare Savings Program, and SNAP through Application for Benefits Eligibility (ABE) at abe.illinois.gov and the applications are routed to the IES at the correct office and retrieved from the Electronic Document Mangement (EDM) Inbox. ABE auto populates screens in the Integrated Eligibility System (IES) worker portal.
Persons may apply for medical and SNAP benefits over the phone by calling the ABE (Application for Benefits Eligibility) Customer Call Center, located in the Broadway Central Family Community Resource Center (FCRC) #150.
The ABE Customer Call Center accepts applications for Medical and initial SNAP only. The ABE Customer Call Center does not accept telephonic applications for TANF Cash, AABD Cash, or initial SNAP applications if there is an active categorical case with the same grantee.
The ABE Customer Call Center is accessed by calling the DHS helpline at 1-800-843-6154. Telephonic applications taken by the ABE Customer Call Center are processed in the Integrated Eligibility System (IES). If the applicant is not requesting cash assistance or does not have an active medical case, a new application will be started in IES. ABE Call Center staff will inform the customer at the beginning of the call that a telephonic signature will be required in order to have a valid application. If the applicant in non-English/non-Spanish speaking, the ABE Customer Call Center contacts the Translator Bank to assist in completing the application interview.