Administered by: Bureau of Maternal and Child Health


The Family Case Management Program (FCM) is a statewide program that helps income eligible clients with a pregnant woman, infant, or young child to obtain the health care services and other assistance they may need to have a healthy pregnancy and to promote the child's healthy development.

The goals of the Family Case Management Program are to:

  • Provide access to primary health care
  • Identify and resolve service barriers
  • Provide health education to all eligible clients
  • Reduce infant mortality and morbidity
  • Reduce very low and low birth rates

The program serves pregnant women and infants in families that are below 200% of the federal poverty level. Local FCM programs develop close working relationships with physicians, hospitals, pharmacist, and other specialty medical providers. The FCM program also collaborates (and develops signed working agreements) with community agencies to address barriers in accessing medical services, child care, transportation, housing, food, mental health needs and substance abuse services. Case management providers are extensions of the local Department of Human Service offices in that they serve as authorized agents for completing Medicaid Presumptive Eligibility (MPE) applications for pregnant women, and assist families in completing All Kids applications for their children. The statewide Family Case management Program funds 115 agencies, including health departments, federally qualified health centers and community-based organizations.

The State of Illinois has focused on infant mortality reduction for more than twenty years. In 1980, the Prenatal Care Program paid for prenatal care services for women not covered by health insurance. Families with a Future, also known as the "9 by '90" initiative, was initiated in 1986 to achieve the Surgeon General's goal of reducing the nation's infant mortality rate to nine deaths for every 1,000 live births by the year 1990. This initiative targeted 27 areas of the state with high infant mortality rates. The program was expanded statewide in partnership with the Illinois Department of Healthcare and Family Services in 1993 as the Healthy Moms / Healthy Kids initiative. In 1996, the program was consolidated in the Illinois Department of Public Health as the "Family Case Management" program. Responsibility for the program was transferred to the newly-created Illinois Department of Human Services on July 1, 1997. Since 1990, the state's infant mortality rate has decreased by 23%. Approximately 372,000 women, infant, and children are seen annually.

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