fbpixel Illinois Home Care Medicaid Eligibility & Guidelines

Everything You Want To Know

Medicaid / Illinois

Medicaid for Home Care in Illinois

Medicaid Certified Home Care Agency in Illinois

A caregiver agency must comply with certain regulations to claim Medicaid in Illinois. Proper certification, along with a license is a must for an agency that is delivering homecare services. The details of regulations are available with the state’s Department of Human Services or Bureau of Licensing and Certification

Governing Body: Illinois Medicaid


Medicaid in Illinois is known as Medical Assistance Program and is funded by the state and federal governments to provide health coverage to low-income individuals making up to 142% of FPL for children, 208% for pregnant women and 133% for adults.

Medicaid Programs:

  • Waiver for Supportive Living Facilities
  • HCBS Waiver for the Elderly
  • Illinois Community Care (CC)
  • Health Choice Illinois
  • Illinois Medicaid-Medicare Alignment Initiative (MMAI)
  • Family Care
  • Healthcare and Family Services (HFS)

Income Requirements:

  • Adults with income from $13,663 to $57,022 per year for a family of eight
  • For parents, income from $289 to $741 per month

Application Process:

The application process for accessing Medicaid in Illinois is not complex, and anyone can apply for the available Medicaid programs through the state’s health insurance exchange, GetCoveredIllinois.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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