1. Complete Form 552:
NOTE: Do not use this to approve medical eligibility for canceled cases or cases that meet the monthly spenddown but not for the current processing month. See WAG 18-05-10 for canceled cases or WAG 15-08-14-a for a one-month only MediPlan card.
Illinois Department of Human ServicesJB Pritzker, Governor · Dulce M. Quintero, Secretary Designate
IDHS Office Locator
IDHS Help Line 1-800-843-6154 1-866-324-5553 TTY
© 2023 Illinois Department of Human Services