Emergency Order Ends May 11, Medicaid Redeterminations Will Begin in April

March 24, 2023

At the end of January, Governor Pritzker announced that Illinois’ public health emergency (PHE) will end on May 11, 2023 – the same date the federal government’s national PHE will end.

As you know, the PHE allowed for various healthcare flexibilities, including the suspension of Medicaid redeterminations.

The Department of Healthcare and Family Services (HFS) announced, also in January, that the first round of Medicaid redeterminations in Illinois is anticipated to begin in April 2023. Prior to the pandemic, Medicaid enrollees were required to submit their redeterminations at least once a year.

Medicaid redetermination is the process that Illinois uses to “recheck” each year to ensure that Medicaid enrollees continue to be eligible for Medicaid coverage based on income. The “asset test” (the requirement to report assets) will also be reinstated.

Some enrollees may be disenrolled if they no longer meet the eligibility guidelines. The earliest date that those currently enrolled with Medicaid insurance could lose coverage would be July 1, 2023.