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How to use or fill out Illinois Redetermination with our platform
- Click ‘Get Form’ to open the Illinois Medicaid Redetermination form in the editor.
- Begin by filling out your personal information at the top of the form, including your name, address, and case ID.
- In Section 1, indicate whether the listed individuals still live with you by checking 'Yes' or 'No' for each member.
- Section 2 requires you to provide details about anyone else living with you. Fill in their names, dates of birth, and relationship to you.
- Continue through Sections 3 to 9, answering questions about pregnancy status, new health insurance, income sources, and expenses. Be sure to provide accurate amounts and check 'Yes' or 'No' as applicable.
- Attach any required proofs of income and expenses as specified in Section 10.
- Finally, read the declaration in Section 11 carefully before signing and dating the form at the bottom of page 3.
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