April 2021 - Just the Facts


Total cases receiving Public Assistance in Illinois climbed 233,091 cases (382,883 persons) in April 2021 from April 2020. Aided cases numbered 2,082,674 (3,363,295 persons) in April 2021, up 12.60% from year-earlier totals.

Temporary Assistance to Needy Families (TANF)

  • Total TANF Benefits: There were 27,638 TANF cases (74,703 persons) in April 2021, down 902 cases and 2,611 persons from March 2021. The caseload was 22.39% higher than the April 2020 total.
  • TANF-Basic: In April 2021, TANF-Basic (primarily single-parent) families decreased, from March 2021, by 845 cases (2,393 persons) for a total of 27,638 cases (74,703 persons).
  • Two-Parent Cases: Two-parent cases decreased in April 2021 by 845 cases (218 persons) from March 2021 for a total of 1,450 cases (6,518 persons).
  • Approvals: There were 1,534 assistance approvals this month, including 510 new grants (down 34 since March 2021) and 175 reinstatements (up 17 since March 2021). A reinstatement is defined as approval of any case that was active within the previous 24 months.
  • TANF Cancelled due to earnings: In April 2021 there were 159 cases cancelled due to earnings from new employer or increased earnings from an existing employer.
  • Total Grant amount: $11,630,093 was the total in April 2021. This is $897,329 less than the total in March 2021. April 2021 shows a 26.87% increase from April 2020.

Assistance to the Aged, Blind or Disabled (AABD)

The total number of April 2021 AABD Cash cases was down 603 cases or -3.13% from the number of cases a year earlier.

  • AABD Case Details: AABD cash cases decreased by 241 cases in April 2021 from March 2021 for a total of 18,633 cases. This total includes 9,007 persons who qualified for Old Age Assistance; 131 persons who qualified for Blind Assistance; and 9,495 persons who qualified for Disability Assistance. The total grant amount shows a 6.69% decrease from March 2021 ($2,375,823) to April 2021 ($2,216,960).

Medical Assistance - No Grant (MANG)

April 2021 had a program total of 1,926,849 cases (3,121,131 persons). Of the total MANG cases, there were 79,573 cases (134,036 MANG persons) in All Kids, Disabled Workers, Breast and Cervical Cancer, Veteran Care, Medically Fragile Technology Dependent, and Department of Corrections programs. Overall, MANG cases in April 2021 show a 13.13% increase (223,570 cases) since April 2020.

  • MANG: MANG recipients represent 92.52% of total cases and 92.80% of total persons in April 2021.  In April 2020, MANG recipients represented 92.09% of total cases.
  • Family Health Plans: Families increased in April 2021 by 6,789 to 775,471 cases from totals in March 2021. Persons also increased 16,151 in April to 1,931,941 persons.
  • ACA Adult: ACA Adult saw an increase of 7,610 cases from March 2021 for a total of 798,292 cases in April. Persons increased by 7,834 for a, April 2021 total of 825,656 persons.
  • AABD Clients: AABD customers who were categorically qualified for Medical Only increased 0.50% in April 2021 from March 2021 to 353,086 cases.
  • Foster Care: Foster Care Assistance totals were not available at the time of this report.

Supplemental Nutrition Assistance Program (SNAP)

Disaster SNAP / Pandemic Electronic Benefit Transfer (DSNAP/P-EBT) benefits were distributed in April 2021 for the months of January 2021 through March 2021. This program provides benefits to children who would have received a Free/reduced price meal if school were in session, but due to the Pandemic the in-school meal was not available. As part of the special processing for these benefits, separate individual cases were required to be set up for each individual child that was eligible.  For more information visit this link : http://intranet.dhs.illinois.gov/onenet/page.aspx?item=131609 

  • SNAP Assistance was given to 2,008,410 Illinois households (2,980,715 persons) in April 2021. This is an increase of 1,022,499 households from April 2020 levels.
  • A total of 109,554 households (148,828 persons) received SNAP with no other assistance in April 2021. This is an increase of 5,067 households from April 2020 levels.
  • The total SNAP assistance amount for April 2021 was $718,645,608. This is an increase of $275,029,326* from April 2020.


TANF 27,638 74,703
AABD Cash 18,633 18,633
Family Health Plans 775,471 1,931,941
AABD MANG 353,086 363,534
ACA 798,292 825,656
SNAP with no other assistance 109,554 148,828
Foster Care N/A N/A
Refugees Cash and Medical 55 55
Total 2,082,729 3,363,350

Child Care1 

Child Care Services are available to families with income at or below 200% of the federal poverty level. Families must be working or enrolled in approved education or training activities. Families cost-share with co-payments based on income and family size. Services are delivered through a certificate program and a site-administered contract system.

  • The Certificate Program eligibility is determined by resource and referral agencies. Parents choose subsidized full or part-time care from any legal care provider that meets their needs. Providers include child-care centers, family homes, group child-care home and in-home and relative care. In March 2021, an estimated 97,623 children were served by certificate.
  • The Site-Administered Contract Program serves families through a statewide network of contracted licensed centers and family homes. Families apply for care directly with the contracted providers and eligibility is determined on-site by the provider. In March 2021, an estimated 3,740 children were served by contract.
  • The Migrant Head Start Program provides childcare and health and social services for preschool children of migrant and seasonal farm workers. Services are provided by local community-based agencies. In March 2021, there were 158 children enrolled in Migrant and Seasonal Head Start.

Emergency Food, Shelter and Support

Homeless families and individuals receive food, shelter, and support services through local not-for-profit organizations. A "continuum of care" includes emergency and transitional housing and assistance in gaining self-sufficiency and permanent housing.

  • The Emergency and Transitional Housing Program served 3,067 households in shelters during January through March 2021. Of those, 443 were households with children.
  • The Emergency Food Program served 177,380 households (duplicative) in April 2021.
  • The Homeless Prevention Program helps families in existing homes and helps others secure affordable housing. During the January - March 2021 quarter, 317 households were served. Of those, 310 were families (Households with children under age 18).
  • The Supportive Housing Program funds governments and agencies which serve families and transitional facility residents. In the January - March 2021 quarter, 818,036 nights of Supportive Housing were provided.
  • The Refugee and Immigrant Citizenship Initiative funds the provision of English language, civics and U.S. history instruction as well as application services. This program has served 11,093 clients in April 2021.
  • Of the refugees served, 441 received employment services, and 79% of the clients entering employment were still employed 90 days later from January - March 2021.
  • The Outreach and Interpretation project assures access to IDHS benefits. This program has served 6,171 in April 2021.

Social Service Block Grants

Service funding is provided through the Federal Title XX Social Services Block Grant to manage and monitor contracts which help customers achieve economic self-support and prevent or remedy abuse and neglect.

  • Crisis Nurseries served 32 families/customers during the January-March 2021 quarter.
  • The Estimated Donated Funds Initiative aided 2,465 customers with 32,340 rides provided for Senior's during the January - March 2021 quarter.

Early Intervention (EI)1

The Illinois Early Intervention (EI) program serves infants and toddlers ages birth to 3 years old with developmental delays or disabilities and their family in one or more of the following areas of development: adaptive, cognitive, communication/speech, physical and social emotional. EI is part of the Individuals with Disabilities Education Act (IDEA), Part C for Infants and Toddlers with Disabilities. Annually, the EI program serves approximately 23,000 children throughout the state and maintains 25 regional intake entities called Child and Family Connections (CFC) offices. CFCs handle referrals, intake and service coordination for infants and toddlers referred to EI and coordinates the eligibility determination process and manages eligible infants and toddlers with Individualized Family Service Plans (IFSPs)through transition.

Early Intervention services include, but are not limited to developmental evaluations and assessments, communication/speech therapy, developmental therapy, occupational therapy, physical therapy, service coordination, psychological, and other counseling services, and assistive technology. Evaluations, assessments, service plan development and service coordination are provided to families at no cost. Ongoing EI services are paid for by public insurance (i.e., Medicaid/All Kids), a family's private health insurance, when appropriate, state general revenue and other program funds. Families are assessed a family participation fee based on a sliding scale which considers their ability to pay.

Program Statistics - Early Intervention

Indicator March 2021 SFY 2020 Average SFY 2019 Average
Referrals 3,450 2,813 3,333
Active IFSP's 17,582 22,474 22,812
0-3 Participation Rate 6.00% 10.41% 4.88%
Under 1 Participation Rate 0.94% 1.30% 1.38%
% With Medicaid 50.30% 51.2% 52.0%
% With Insurance 40.40% 38.8% 39.1%
% With Fees 30.20% 28.8% 28.5%

What's New in EI

The Bureau is finalizing our State Systemic Improvement Plan to improve child outcomes through two coherent improvement strategies of implementing the Child Outcomes Survey practice with fidelity and to have Family Engagement processes developed, measured, and put into practice. This work aligns with evidence-based services utilizing the Division of Early Childhood's Recommended Practices.

Women, Infants, and Children (WIC)1

The purpose of WIC is to provide nutrition education and counseling, breastfeeding promotion and support, nutritious supplemental foods, and referrals to services for eligible pregnant, breastfeeding, and postpartum women, infants, and children to age five. The program has been housed under the Department of Human Services since 1997. To be eligible, participants must be at 185% of the federal poverty level, be a resident of the State of Illinois, and have a nutrition risk.

Program Statistics - WIC

Eligibility Category Clients in March 2021
Pregnant Women 13,952
Breastfeeding Women 10,622
Postpartum Women 10,989
Infants 44,914
Children 74,992
Total 155,469

What's New in WIC

The WIC Electronic Benefits Transfer (EBT) implementation was completed on September 28, 2020. This included the creation of a new management information system called I-WIC that replaced the old Cornerstone system. Since then WIC staff have been working with local WIC agencies to address training and system issues in the Clinic modules in I-WIC that have arisen to ensure a quality customer experience. Central office staff have also been reviewing and resolving I-WIC system training, documentation and related issues with the Vendor, Administration, and Nutrition modules. USDA was very pleased that the Illinois WIC Program was still able to implement WIC EBT during the Covid-19 pandemic meeting the federal mandate.

Family Case Management1

The program target population is low income families (below 200% of the federal poverty level) with a pregnant woman, an infant. The goals of the program are to help women have healthy babies and to reduce the rates of infant mortality and very low birth weight. To achieve these goals the program conducts outreach activities to inform expectant women and new mothers of available services and then assists them with obtaining prenatal and well-childcare. The program works with community agencies to address barriers to accessing medical services, such as childcare, transportation, housing, food, mental health needs and substance abuse services. Services are provided statewide through local Health Departments, Federally Qualified Health Centers, and community-based organizations. Home visits by program staff are provided in the first year of life.

Program Statistics - Family Case Management

Active Participant Counts for March 2021

Medicaid 24,757
Non-Medicaid 6,518
Statewide 31,275

Bureau of Program & Performance Management

1 Current month's Child Care, Early Intervention, Women, Infants, and Children, and Family Case Management data is not released until the end of the following month resulting in a one-month lag for this report.

* Increase due to COVID19 - see Policy Memo - http://intranet.dhs.illinois.gov/oneweb/page.aspx?item=123562