Due to the COVID-19 Emergency Declaration, effective immediately the reasonable compatibility threshold is increased to 30% for medical applications and redeterminations. This action provides immediate relief to the amount of manual communication required when verifying income.
Reasonable Compatibility Threshold
Reasonable compatibility is a test for determining if the amount of reported income is reasonably compatible with income verified electronically or from other sources at application for medical benefits or at REDE.
When reported income is LESS than the applicable medical program standard and the income verification obtained from another source is MORE than the applicable medical program standard, perform the reasonable compatibility test to determine if additional verification or information about the reported income is required.
Reported income is reasonably compatible with verified income when the Federal Poverty Level (FPL) of the income reported on the application or REDE is within 30% of the income verification obtained from another source. See WAG 02-07-05. Use the client reported amount when the income is within the new reasonable compatibility threshold.
[signed copy on file]
Grace B. Hou
Secretary, Illinois Department of Human Services
Director, Healthcare and Family Services