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Changes Coming to Medicaid:
GET READY!

There are changes coming to who is eligible for Medicaid, and how often someone needs to reapply to keep their coverage. Erie Family Health Centers cares for our patients with or without insurance, but we want to help our patients keep their coverage, if they are eligible.

Changes to Immigrant Eligibility:

As of October 1, 2026, non-pregnant adults will need to have one of these four immigration statuses to qualify for full Medicaid:

• U.S. Citizen
• Lawful Permanent Resident (subject to 5 year waiting period)
• Cuban/Haitian Entrants
• Compact of Free Association (COFA) Migrants

There is no change to eligibility for children under age 19 (All Kids) and pregnant/postpartum individuals (MPE/Moms & Babies). There is no change to eligibility for state-funded Medicaid-like programs, such as AATV, HBIS (program still on pause), or Medicaid coverage for survivors of domestic violence.

Work Requirements:

Beginning January 1, 2027, some adults with Medicaid (known as “ACA Adults”) will need to fulfill a work requirement and prove that they work, volunteer, or go to school to keep their coverage.

This new rule may apply to individuals who:​

• are ages 19-64​
• do not have a child under 18 residing in your home who is related to you, and
• are not receiving (or entitled to) Medicare Part A or Part B

Many people will be exempt from these new work requirements, including, but not limited to:

• people who are pregnant
• people caring for a dependent child under age 14 or a person with a disability
• people who have health issues that prevent them from meeting a work requirement

Need to Renew Medicaid Coverage More Frequently:

Beginning January 1, 2027, if you are an adult covered by Medicaid, you must submit information to prove that you still qualify – and either meet or are exempt from work requirements – every six months, instead of just once a year. (Illinois calls this “redetermination”.)

Things to Do Now to Get Ready

Don't Lose Your Coverage Accidentally!

The State of Illinois mails Medicaid renewal letters to people at the home address they have on file every month. If this letter goes to the wrong address, or if you don't reply within 30 days, you can lose your Medicaid insurance.

Haga clic aquí para actualizar su dirección en el sitio web de Medicaid 
Ingrese una dirección donde el correo siempre pueda llegar a usted. También puede llamar al 1-877-805-5312.

Haga clic aquí para configurar una cuenta en línea "Administrar mi caso"
Con esta cuenta, puede renovar su seguro de Medicaid más rápido en línea, en lugar de enviar documentos por correo. También puede ver su fecha límite de renovación en su cuenta.

(¿Ya tiene una cuenta "Gestionar mi caso"? Haga clic en aquí iniciar sesión.)

Por favor visita Medicaid: Get the Facts to learn if the changes apply to you and what to do to keep your coverage.

Did you lose your Medicaid?

Don’t worry! Erie will remain your primary care home. Erie can assist you with other coverage options like the Medicaid FPPE (Family Planning Presumptive Eligibility) Program (temporary health insurance for general and reproductive health visits), the Illinois Breast and Cervical Cancer Program (IBCCP), Title X and our sliding fee scale.

Please do not delay your care. We are here to help!

Have Questions?

Call Erie at 312.666.3494, then press option 4, then option 2.