- Updates the various medical program income standards which are based on the Federal Poverty Level Income Guidelines effective 01/01/13.
- Updates the Program Standards Desk Aid.
- Updates the co-payments in WAG 25 for children receiving All Kids Share and adults receiving Medicaid.
- Information regarding the central conversions will be sent in an Action Memorandum. The anticipated effective date for the annual conversions is April 2013.
- Increase in the Monthly Medical Income Standards
- Family Health Plans Income Standards
- Monthly Income Standards for AABD, Medicare Cost Sharing
- Monthly Income Standards for Other Programs
- Family Assist and Family Health Spenddown Standards
- Program Standards Desk Aid
- Co-payments Updated
- MANUAL REVISIONS
Increase in the Monthly Medical Income Standards
This release places in the manual the updated income standards for the programs listed below based on the 2013 Federal Poverty Level (FPL).
The new standards are effective 01/01/13 for all programs except MPE. The new standards are effective for MPE on 02/21/13.
Family Health Plans Income Standards
Monthly Income Standards for AABD, Medicare Cost Sharing
Monthly Income Standards for Other Programs
Family Assist and Family Health Spenddown Standards
There is no change in the Family Assist and Family Health Spenddown standards. Persons with monthly income that is more than the FamilyCare standard must spend down to the Family Health Spenddown standard.
Program Standards Desk Aid
The Program Standards Desk Aid in WAG 25-03-02 (pdf) has been updated with the new income standards.
The Premium and Co-payment chart in WAG 25 is revised with the new co-payment amounts for children receiving All Kids Share and adults receiving FamilyCare Assist. These co-payments went into effect July 1, 2012 as a result of the Saving Medicaid Access and Resources Together act (P.A. 097-0689).
[signed copy on file]
Michelle R.B. Saddler
Secretary, Illinois Department of Human Services
Director, Illinois Department of HealthCare and Family Services