Medical programs for persons who do not receive cash are called Family Health Plans (FHP), AABD Medical, RRA Medical, new textCountyCare and Health Benefits for Persons with Breast or Cervical Cancer (BCC). revised textThere are several FHP programs; i.e., Family Assist, All Kids/FamilyCare Assist, Moms & Babies, All Kids Share, All Kids Premium, All Kids Rebate, and Family Health Spenddown.

A person also qualifies for medical if they meet the rules to qualify for TANF, AABD Cash, or RRA Cash, but have enough income to meet basic needs. An aged, blind, or disabled person may qualify for AABD Medical whether living in the community or in a long term care facility.

revised textA Family Assist, All Kids/FamilyCare Assist, Moms & Babies, All Kids Share, All Kids Premium, or All Kids Rebate case has countable income that is equal to or less than the appropriate income standard. Only uninsured children under age 19 can receive All Kids Premium Level 2.

An AABD Medical Community case has countable income and assets that are equal to or less than the AABD Medical income standard and AABD Medical asset disregard.

Persons on most HFS medical programs cases get an HFS medical card. Children receiving Rebate do not receive a medical card since the Department does not pay for any medical services they receive.

The HFS medical card lists each eligible person. When someone needs medical service, they show the medical card to the doctor, hospital, drug store, clinic, etc. A medical provider who is approved to participate in the medical program has agreed to accept payment from HFS and send the bill to HFS.

People we help through the programs described above are:

  • Children living with a relative other than their parent. The category designator for these representative payee (RPY) cases is 94.
  • Children living with a parent who receives SSI. The category designator for these representative payee (RPY) cases is 94.
  • Children and no more than 2 adults who live with the child and meet the definition of caretaker relative or spouse of the caretaker relative. This includes children living with a parent(s) who is ineligible. The category designator for the child and parents' case(s) is 96 if both of the child's parents are in the home and able to work. The category designator is 94 for all other cases.
  • A pregnant woman of any age with no eligible children and, if married, her husband who lives with her. The category designator is 96 if the woman and her husband are both able to work. It is 94 for all other cases.
  • A person 18 or under who does not live with a caretaker relative. Some of these children are Wards of the Court who were removed from their homes by the Circuit Court. They live in foster care homes, or in treatment, or group living facilities. These cases are called Ribicoff, or 94R, cases. The category designator for these cases is 94. The letter R is in the first position of the basic number.
  • Foster care/adoption care children from other states who live in Illinois. The category designator for these cases is 94. Local offices do not handle these cases. The Bureau of Local Office Transaction and Support Service, Springfield, approves and maintains them.
  • Foster care/subsidized adoption care cases administered by the Illinois Department of Children and Family Services (DCFS). The category designator for these cases is 98.
  • The child(ren) of a child receiving an adoption assistance subsidy through the Department of Children and Family Services (DCFS) is eligible for Medicaid as a newborn up to age one based on the mother's receipt of Medicaid under category 98. The category designator for these representative payee (RPY) cases is 94. After one year, they have to be a regular 94 or 96 case.
  • The child(ren) of a child in a subsidized guardianship program through the Department of Children and Family Services (DCFS) is eligible for Medicaid as a newborn up to age one based on the mother's receipt of Medicaid under category 98. The category designator for these representative (RPY) cases is 94. After that, they have to be a regular 94 or 96 case.
  • A person who is at least 65 years old and has enough income to meet basic needs. The category designator for these cases is 91 (aged).
  • A person who meets the SSA definition of blind or disabled and who has enough income to meet basic needs. The category designator for these cases is 92 (blind) or 93 (disabled).
  • A person who meets the SSA definition of disabled, and is employed, receives benefits through the Health Benefits for Workers with Disabilities (HBWD) program administered by the central HBWD Unit. The category designator is 93 with local office number 250.
  • A person who needs treatment for breast or cervical cancer or a precancerous condition receives benefits through the Health Benefits for Persons with Breast or Cervical Cancer (BCC) program administered by the central BCC Unit. The category designator for these cases is 93 with local office number 189.
  • A person who lives in an approved long term care facility. The category designator for these cases is 91 (aged), 92 (blind), or 93 (disabled).
  • A person who meets basic rules for Refugee and Repatriate Assistance (RRA) and who has enough income to meet basic needs. The category designator for these cases is 90.
  • A person who has an application for asylum pending with the U.S. Bureau of Citizenship and Immigration Services (BCIS), or who receives services from a federally funded torture treatment center may receive benefits through the Medical Benefits for Asylum Applicants and Torture Victims program. The category designator is 90
  • A person under age 19 whose income exceeds 133% of the FPL but is equal to or less than the appropriate income standard and who meets certain nonfinancial requirements. These are All Kids Share, Premium Level 1 and Rebate cases. The category designator for these cases is 94.
  • A person under age 19 whose income is over 200% but not over 300% of the FPL, and is uninsured may qualify for All Kids Premium Level 2. The category designator for these cases is 94.
  • A person who applied for help and was determined eligible before being arrested and jailed by a peace officer from a county or unit of local government qualifies, even if they didn't get help before they were jailed. This special coverage pays for qualifying medical bills over the first $500. The category designator for these cases is 91 (aged), 92 (blind), 93 (disabled), 94 or 96.
  • A parent who is excluded from a TANF case because of excess SSA disability, Railroad Retirement disability, 100% Veterans' Administration disability, or Black Lung benefits. The category designator for these cases is 93 or 94.
  • A person who is an uninsured veteran may receive benefits under the Veterans Care program administered by the central Veterans Care Unit. The category designator is 93 with local office number 196.
  • new textA person age 19-64 who lives in Cook County and does not qualify for a medical benefits program offering full medical benefits.  The category designator is 94 with a local office number 197.