MangP Codes

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03/22/2021

Information Memo

Summary: How the MangP Codes are used to provide services for customers

  • The Illinois Department of Healthcare and Family Services administers a variety of Medical Programs. Medical Assistance No Grant, Pregnant (MANGP) Codes were originally developed to identify pregnant women with Medical coverage. These codes have evolved to identify other medical eligibility groups.
  • Please note that there are still some Client Database Legacy MangP Codes in the Recipient Database. The list below is only MangP Codes built by IES.
  • The MangP codes identify which services customers are eligible to receive. The MangP Codes are also used by Federal Finance to determine how much Federal Match HFS will receive for services.
  • Please use this chart when completing the "Request for Correction/Addition to MMIS Eligibility File" form 2958. Also use this chart when completing Overrides in IES Eligibility Exception Summary.
MangP Code Description Minimal Essential Coverage Exceptions
A Pregnant Woman; income greater than the Family Assist Standard and less than or equal to 133% of FPL Yes
AI Pregnant Woman either Noncitizen, Inmate, or in State-Operated Facility; income less than or equal to 213% FPL Yes
B Pregnant Woman income greater than 133% and less than or equal to 213% of FPL Yes
BI Post-Partum Woman either Noncitizen, Inmate, or in State-Operated Facility; income less than or equal to 213% FPL Yes
C Less than age 1 and Mother Medicaid Eligible; income greater than Family Assist Standard and less than or equal to 147% of FPL Yes
D Less than age 1 and Mother Medicaid Eligible; income greater than 147% and less than or equal to 213% of FPL Yes
E Less than age 1 and Mother Not Medicaid Eligible; income greater than Family Assist Standard and less than or equal to 147% of FPL Yes
F Age greater than or equal and less than 6; income greater than Family Assist Standard and less than or equal to 147% FPL Yes
FA Family Care - adult; income greater than  Family Health Spenddown Standard and less than or equal to 49% FPL Yes
FB Family Care - adult; income greater than 49% and less than or equal to 90% FPL Yes
FC Family Care - adult; income greater than 90% and less than or equal to 138% FPL Yes
FP Illinois Healthy Women (Family Planning Waiver) No Family Planning Services Only
FS Veterans Care - spouse of a Veteran No Long Term Care & Non-Emergency Transportation Not Covered
FV Veterans Care No Long Term Care & Non-Emergency Transportation Not Covered
FW Illinois Healthy Women expansion (Family Planning Waiver) - no TPL No Family Planning Services Only
FX Illinois Healthy Women expansion (Family Planning Waiver) - with TPL No Family Planning Services Only
F1 CHIPRA 214; age less than 19; Lawfully Permanent Resident (LPR) less than 5 years; income less than or equal to 147% FPL Yes
F2 CHIPRA 214; age less than 19; Lawfully Present in US; income less than or equal to 147% FPL Yes
G Greater than or equal to Age 6; greater than Family Assist Standard and less than or equal to 108% FPL Yes
G5 ACA Adult with SSI Recipient; income less than or equal to 138% FPL Yes
G6 ACA Adult with income less than or equal to 103% FPL and RSDI-Disability Income Yes
G7 ACA Adult with income greater than 103% and less than or equal to 138% FPL and RSDI-Disability Income Yes
G8 ACA Adults (Group VIII) - no SSI or RSDI Disability Income; other income less than or equal to 38% FPL Yes
G9 ACA Adults - Former Foster Care (Group IX) greater than or equal to age 19 and less than or equal to age 26 Yes
H Greater than or equal to age 6; income greater than 108% and less than or equal to 147% FPL - with no TPL Yes
I Greater than or equal to age 6; income greater than 108% and less than or equal to 147% FPL - with TPL Yes
IB Infant Born to a Mother who is a Noncitizen, Inmate or Recipient in State-Operated Facility Yes
IF DOC inmate; not otherwise eligible No Limited Inpatient & Outpatient Hospital Services
M Family Assist - income less than or equal to Family Assist Standard Yes
MA Transitional Medicaid - match Yes
MB Family Support Community No, Limited Medical Benefits additional information in the Provider Handbook
MC Family Support Residential No, Limited Medical Benefits additional information in the Provider Handbook
ME Children's mental health (extension) - screening, assessment and support services No, Limited Medical Benefits additional information in the Provider Handbook
MF Specialized Family Support No, Limited Medical Benefits additional information in the Provider Handbook
MH Children's mental health (initial authorization) - screening, assessment and support services No, Limited Medical Benefits additional information in the Provider Handbook
MJ LTC Provisional Eligibility - Title 19 No, Limited Medical Benefits additional information in the Provider Handbook
MK LTC Provisional Eligibility - Unmatchable Yes
ML Mobile Crisis No, Limited Medical Benefits additional information in the Provider Handbook
MM MPE - match - Medical Presumptive Eligibility - Pregnant Woman No Inpatient Services Not Covered
MP MPE - no match - Medical Presumptive Eligibility - Pregnant Woman No Inpatient Services Not Covered
MQ Temporary Medical Assistance - no match Yes Long Term Care Not Covered
MR DHS Mental Health conversion-DHS Social Services (Service Package B) No, Limited Medical Benefits additional information in the Provider Handbook
MX COVID Screening - with TPL No COVID Testing Only
MY COVID Screening - without TPL meets citizenship requirements No COVID Testing Only
MZ COVID Screening - without TPL does not meet citizen requirements No COVID Testing Only
NC Otherwise Ineligible; Non-citizen eligible for renal services only No Renal Dialysis Services Only
ND Non-citizen; court-ordered medical coverage Yes Non-Emergency Transportation Services Not Covered
NE Non-citizen eligible for emergency services Yes Non-Emergency Transportation Services Not Covered
PA Presumptive eligibility children; income greater than 147% and less than or equal to 209% FPL; the days prior to registration Yes
PB Presumptive eligibility children; income less than or equal to 147% FPL; the days prior to registration Yes
PH Presumptive eligibility children; income greater than 147% FPL and less than or equal to 209% of FPL Yes
PL Presumptive eligibility children; income less than or equal to 147% FPL Yes
PM Adult Presumptive Eligibility - MAGI Yes
PN Adult Presumptive Eligibility - AABD Yes
RY All Kids Share; age less than 19; lawfully present in US; income greater than 147% and less than or equal to 157% FPL; with TPL Yes
RZ All Kids Premium 1; age less than 19; lawfully present in US; income greater than 157% and less than or equal to 209% FPL; with TPL Yes
S All Kids Share; age less than 19; income greater than 147% and less than or equal to 157% FPL no TPL Yes
SL All Kids Share; age less than 19; income greater than 147% and less than or equal to 157% FPL; with TPL Yes
TA Child in Foster Care Yes
TB Child in Foster Care Yes
TC Child in KinGap (Guardianship) Yes
TD Child in KinGap (Guardianship) Yes
TE Adoption Assistance Yes
TF Foster Care Continuous Eligibility Yes
TT Victims of Trafficking, Torture or Other Serious Crimes Yes
TV Aslyees and Torture Victims Yes
XJ DCFS; Group 09; adoption assistance; out-of-state placement, eligible for Medicaid in other state. Yes
XU DCFS; Group 30; Department of Corrections (not DCFS) Yes
XV DCFS; Group 31; child of ward Yes
ZX All Kids Premium Level 2; age less than 19; income greater than 209% and less than or equal to 318% FPL; no TPL Yes Non-Emergency Transportation Services and Over-the-Counter Medication Not Covered
ZY All Kids Premium Level 2; age less than 19; income greater than 209% and less than or equal to 318% FPL; with TPL Yes Non-Emergency Transportation Services and Over-the-Counter Medication Not Covered
Z8 All Kids Premium Level 1; age less than 19; income greater than 157% and less than or equal to 209% FPL; with TPL Yes
Z9 All Kids Premium Level 1; age less than 19; income greater than 157% and less than or equal to 209% FPL; no TPL Yes
1A All Kids Assist; less than age 19; income less than or equal to 147% FPL; undocumented Yes
2A All Kids Share; less than age 19; income greater than 147% and less than or equal to 157% FPL; undocumented Yes
3B All Kids Premium Level 1; less than age 19; income greater than 157% and less than or equal to 209% FPL; undocumented Yes
3K CHIPRA 214; less than age 19; legal permanent residents less than 5 years; income greater than 147% and less than or equal to 157% FPL; no TPL Yes
3L CHIPRA 214; less than age 19; lawfully present in US; income greater than 147% less than or equal to 157% FPL; no TPL Yes
3M CHIPRA 214; less than age 19; legal permanent residents less than 5 years; income greater than 157% and less than or equal to 209% FPL; no TPL Yes
3N CHIPRA 214; less than age 19; lawfully present in US; income greater than 157% and less than or equal to 209% FPL; no TPL Yes
3P CHIPRA 214; less than age 19; legal permanent residents less than 5 years; income greater than 209% less than or equal to 318% FPL; no TPL Yes Non-Emergency Transportation Services and Over-the-Counter Medication Not Covered
3Q CHIPRA 214; less than age 19; lawfully present in US; income greater than 209% and less than or equal to 318%; no TPL Yes Non-Emergency Transportation Services and Over-the-Counter Medication Not Covered
3R All Kids Premium Level 2; less than age 19; income greater than 209% and less than or equal to 318% FPL; undocumented Yes Non-Emergency Transportation Services and Over-the-Counter Medication Not Covered
4 All Kids Prior Coverage Yes
4B All Kids Prior Coverage; less than age 19; income greater than 147% and less than or equal to 209% FPL; undocumented Yes
6 AABD expansion income greater than Family Health Spenddown Standard and less than or equal to 100% FPL
6I Healthy Illinois Expansion less than or equal to 100% FPL; greater than age 65 and non-citizen Long Term Care Not Covered
7 AABD Spenddown over 100% FPL Yes, if Spenddown is Met
7I Healthy Illinois Expansion Spenddown over 100% FPL; greater than age 65 and non-citizen Yes, if Spenddown is Met Long Term Care Not Covered
8 Health Benefits for Workers with Disabilities income greater than 100% and less than or equal to 200% FPL Yes
8A Health Benefits for Workers with Disabilities income greater than 200% and less than or equal to 350% FPL Yes
9 Breast and Cervical Cancer less than or equal to 200% FPL Yes
9A Breast and Cervical Cancer expansion income greater than 200% and less than or equal to 250% FPL Yes
9B Breast and Cervical Cancer expansion income greater than250% and less than or equal to 400% FPL Yes
9C Breast and Cervical Cancer expansion income greater than 400% FPL Yes
Blank MangP codes are valid codes but when combined with QMB Codes have different meanings.
Blank MangP Code with QMB STAT= DUAL Yes Medicare Pays First, HFS pays Part A & B, copays and deductibles
Blank MangP Code with QMB STAT = MDSL and Spenddown Code 1 or 3 Yes HFS Medical Services if Spenddown is Met, payment for Part B
Blank MangP Code with QMB STAT = QI-1 and Spenddown Code 1 or 3 Yes HFS Medical Services if Spenddown is Met, payment for Part B
Blank MangP Code with QMB STAT = QI-1 and NO Spenddown Code QI-1 Only No HFS Medical Services, payment for Part B
Blank MangP Code with QMB STAT = SLIB SLIB Only No HFS Medical Services, payment for Part B
Blank MangP Code with QMB STAT= YES QMB Only No HFS Medical Services, payment for Part A & B copays and deductibles

[signed copy on file]

Grace B. Hou
Secretary, Illinois Department of Human Services

Theresa Eagleson
Director, Healthcare and Family Services