Illinois redetermination 2026

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  1. Click ‘Get Form’ to open the Illinois Medicaid Redetermination form in the editor.
  2. Begin by filling out your personal information at the top of the form, including your name, address, and case ID.
  3. In Section 1, indicate whether the listed individuals still live with you by checking 'Yes' or 'No' for each member.
  4. Section 2 requires you to provide details about anyone else living with you. Fill in their names, dates of birth, and relationship to you.
  5. 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.
  6. Attach any required proofs of income and expenses as specified in Section 10.
  7. Finally, read the declaration in Section 11 carefully before signing and dating the form at the bottom of page 3.

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