Illinois Medicaid Program Overview

Enrollment, funding, and managed care facts for Illinois Medicaid.

Get Illinois's Medicaid Fee Schedule →
2.94-3.42M
Enrolled
Expanded
ACA expansion status
51.82%
Federal match (FMAP), FFY2026
75.1-75.6%
In managed care

Enrollment

Illinois Medicaid covered approximately 2.94-3.42M people. Two independent sources give different-period figures for total Illinois Medicaid/CHIP enrollment: KFF's state indicator (2,939,165, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (3,418,634 total Medicaid enrollees, July 1, 2024). A third source, healthinsurance.org, reports ~3.2 million as of August 2025, falling between the two and tracing the same declining trend. Consistent with continued post-pandemic 'unwinding' enrollment decline, not a data error. Reported as a range rather than a single false-precision number.

Funding & federal match

Illinois has adopted ACA Medicaid expansion, effective 2014-01-01.

For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Illinois's Federal Medical Assistance Percentage (FMAP) is 51.82%.

Delivery system & managed care

A large share of Illinois Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 75.1-75.6% of Medicaid enrollees.

Waivers

Illinois operates Medicaid managed care under the Illinois Continuity of Care and Administrative Simplification Waiver, a Section 1115 demonstration waiver. Gives Illinois flexibility in Medicaid program design/administration to support continuity of care during eligibility transitions and administrative simplification. Approved June 19, 2021, current expiration December 31, 2025; the state is seeking a further extension through December 31, 2030.

Illinois operates Medicaid managed care under the Illinois Healthcare Transformation Waiver, a Section 1115 demonstration waiver. Provides additional program flexibility to support Illinois's Medicaid delivery-system transformation efforts. Five-year extension approved July 2, 2024, effective through June 30, 2029.

Frequently Asked Questions

Yes. Illinois has adopted ACA Medicaid expansion. Effective 2014-01-01.

Get Illinois's Free Medicaid Fee Schedule

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