See WAG 06-09-06-a for information about adding a deemed newborn to Moms & Babies coverage.
Newborns whose mother was covered for HFS medical benefits for the newborn's birth are deemed eligible and are continuously eligible for medical benefits until they are a year old regardless of changes in income.
Rather than aligning a deemed newborn's certification period with the other medical EDGs on a case, the newborn's cert period will be set to end after they turn 1 year old. Prior to their 1st birthday, IES initiates a REDE to determine continued eligibility under another medical program. The newborn must now meet income and SSN (or application for SSN) criteria and a written request to add the child is required if not yet on file.
When adding a deemed newborn in IES it is important to indicate on the newborn screen whether a written request was already received. This will prevent IES from requesting another 243C when the child turns a year old.
For inactive spenddown cases, if the spenddown case is in canceled not met status, see WAG 18-03-10 and WAG 18-05-07.
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
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