Use Table B copayments for families when:
Use Table A copayments in all other instances.
Also refer to Important Parent Copayment Information (Form IL444-3455B and IL444-3455BS) for family size and gross income guidelines.
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
IDHS Office Locator
IDHS Help Line
© 2023 Illinois Department of Human Services