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HIFA waiver – In 2002, Illinois received approval from the Centers for Medicare and Medicaid Services (CMS) for a Health Insurance Flexibility and Accountability (HIFA) waiver to provide FamilyCare coverage to parents and caregiver relatives of children eligible for the State Children’s Health Insurance Program (SCHIP) with incomes up to 185 percent of the federal poverty level (FPL). FamilyCare was fully phased-in over the course of several years, with the final HIFA waiver authorized expansion to 185 percent of the FPL taking effect January 1, 2006. Illinois also operated a premium assistance program, entitled All Kids/FamilyCare Rebate, under the HIFA waiver. This program allowed eligible children with family incomes between 134 percent and 200 percent of the FPL and parents or caregiver relatives with incomes between 134 percent and 185 percent of the FPL to enroll in employer-sponsored or private insurance and receive a monthly rebate ($75) from the State. The HIFA waiver expired in September 2007; Illinois no longer receives federal financial participation for these programs previously implemented under waiver authority.

All-Kids – In October 2005, Illinois renamed its children’s coverage program and the program known as KidCare became All Kids. Effective July 1, 2006, All Kids coverage expanded to include children who need health insurance, regardless of family income or immigration status. Cost-sharing in the form of monthly premiums and co-pays is determined by family income. Illinois continues to draw federal matching funds for children at and below 200 percent of the FPL who meet immigration requirements. The State pays for higher income children and children who do not meet immigration requirements with State-only funds. 
 
FamilyCare- Effective December 2007, Illinois expanded coverage to parents and caretaker relatives of children who live them to 400 percent of the FPL*. Cost sharing in the form of monthly premiums is based on income. Parents and caretaker relatives also pay copays for services.