Premiums and selected cost sharing in All Kids, 2019
|Family Income Level
||$5 (per day)
||$100 (per admission)
Families with income from 158% to 208% pay a premium of $15/month for 1 child, $25 for 2, $30 for 3, $35 for 4 and $40 for 5 or more children.
Families with income from 210 to 318% FPL pay a monthly premium of $40 for 1 child or $80 for 2 or more.
Strategies to Simplify Enrollment and Renewals in Illinois
|Use of presumptive eligibility
|Use of 12-month continuous eligibility
|Use of express lane eligibility
For definitions of strategies in this chart, see the Centers for Medicare & Medicaid Services December 2009 State Health Official letter here.
Other Characteristics of Illinois’ CHIP Program
|Require a waiting period?
||Yes, 3 months
|Offer a buy-in option?
|Cover dependents of public employees?
|Cover lawfully residing children without a five-year waiting period?
Source: Medicaid and CHIP Eligibility, Enrollment, and Cost Sharing Policies as of January 2019: Findings from a 50-State Survey. Kaiser Family Foundation and Georgetown University Center for Children and Families.
Health Services Initiatives
States can develop Health Services Initiatives (HSIs) to improve the health of low-income children and youth by using a portion of their existing CHIP administrative dollars. After covering regular CHIP program administrative costs, states can use any remaining funds – within the 10 percent cap – for an HSI project. The federal share of the HSI project cost is funded at the state’s CHIP match rate. States have used HSIs to support poison control centers, school health services, lead abatement efforts, and other unique prevention and intervention projects. Illinois uses the HSI option; see NASHP’s chart.
States may report on a core set of quality measures for children. Illinois reported on 20 measures for federal fiscal year 2018. Among the measures is access to primary care providers, listed below.
Percentage of children and adolescents visiting a primary care provider, by age (FFY 2018)
||12 – 24 months
||25 months – 6 years
||7 – 11 years
||12 – 19 years
Source: Department of Health and Human Services, 2019 Annual Reporting on the Quality of Care for Children in Medicaid and CHIP, September 2019. The measure is for the percentage of children ages 12 to 24 months and 25 months to 6 years who visited a primary care provider within the past year; and every two years for children ages 7 to 11 years and 12 to 19 years. Note: This includes both Medicaid and CHIP data.
 States may implement waiting periods up to 90 days in CHIP. A waiting period is the length of time a child must be uninsured before enrollment in CHIP.
 Children in families with income below 209% FPL are exempt from the waiting period.
 States can allow families with incomes above the upper income eligibility limit to pay the full cost to purchase coverage for their uninsured children through CHIP.
 Information provided by the state.
 Illinois covers income-eligible children who do not meet immigration status requirements using state-only funds.