Transferring Medicaid from Minnesota to Illinois
Moving ends your Minnesota Medicaid — the program is state-bound. The good news: Illinois lets you apply right away through Illinois Department of Healthcare and Family Services (HFS), with no waiting period for new residents. Keep the two cases from overlapping by closing Minnesota coverage effective the month you leave.
Both states cover adults under expansion rules at 138% of the federal poverty level, so if you qualified on income in Minnesota, you will likely qualify in Illinois too.
Official Illinois Medicaid agency: Illinois Department of Healthcare and Family Services (HFS) ↗ (application page)
Your step-by-step checklist
Before you move
- 1
Gather your documents before the move
You will reapply from scratch: proof of identity, income (pay stubs or award letters), your new address, and immigration documents if applicable.
- 2
Tell Minnesota Department of Human Services you are leaving
Report your move and ask for your case to be closed effective the end of the month you leave. Medicaid cannot cover you in two states at once.
Minnesota Department of Human Services ↗
Moving week
- 3
Time the closure to the end of your move month
Keep coverage through the month you travel. Your old state's coverage generally ends the month you stop being a resident.
After you arrive
- 4
Apply with Illinois Department of Healthcare and Family Services (HFS) as soon as you arrive
There is no waiting period based on how long you have lived there — apply immediately. Processing: up to 45 days (90 if a disability decision is needed). From January 1, 2027 (earlier in some states), most adults in the expansion group must also show 80 hours a month of work, school, job training, or community service, or an exemption, possibly for 1 to 3 months preceding the application.
Online application ↗ - 5
Ask about retroactive coverage
Most states can pay eligible medical bills from as early as the third month before the month you apply, so ask when you apply if you had care during the gap. For applications filed on or after January 1, 2027, federal law (Public Law 119-21) shortens this to the month before the month you apply for adults in the expansion group and the second month before the month you apply for everyone else.
Minnesota vs Illinois: the numbers that decide it
| Minnesota (old state) | Illinois (new state) | |
|---|---|---|
| Program name | Medical Assistance (MA) | Illinois Medicaid |
| Agency | Minnesota Department of Human Services | Illinois Department of Healthcare and Family Services (HFS) |
| ACA Medicaid expansion | Yes — adults covered on income | Yes — adults covered on income |
| Adult income limit | 138% of the federal poverty level | 138% of the federal poverty level |
Monthly income limits by household size: Minnesota vs Illinois
| Household size | Minnesota | Illinois |
|---|---|---|
| 1 person | $1,836 | $1,836 |
| 2 people | $2,489 | $2,489 |
| 3 people | $3,142 | $3,142 |
| 4 people | $3,795 | $3,795 |
| 5 people | $4,449 | $4,449 |
| 6 people | $5,102 | $5,102 |
Limits for adults, computed from each state's published % of the 2026 HHS poverty guidelines and rounded up to the dollar. Children, pregnancy, and 65+/disability rules differ; each state's own chart controls and may still show 2025 figures. Full tables: Minnesota · Illinois · 2026 poverty guidelines.
Moving with more than one benefit?
The checklist generator merges Medicaid, SNAP, WIC, unemployment, and TANF into one ordered to-do list for this exact move.
Build the full Minnesota → Illinois checklistCommon questions
Can I use my Minnesota Medicaid in Illinois while I wait?
Generally no. Minnesota Medicaid only pays providers for Minnesota residents, and out-of-state care is limited to emergencies. Once you live in Illinois, you need Illinois coverage — apply immediately and ask about retroactive coverage for bills in the gap.
Is there a waiting period for Medicaid in Illinois?
No. States cannot impose a minimum-residency waiting period. You qualify (or not) on Illinois's income and category rules from the day you become a resident. The application itself takes up to 45 days (90 if a disability decision is needed).
Can I have Medicaid in two states at once?
No. You can only receive Medicaid from the state where you live. Keeping an old case open while opening a new one can create repayment problems — close the Minnesota case effective your move month.
Where do I actually apply in Illinois?
Through Illinois Department of Healthcare and Family Services (HFS) (online application linked above). Official Medicaid pages for both states are cited at the bottom of this page.
Related guides
- Moving back: Illinois to Minnesota Medicaid
- Medicaid in Minnesota: leaving or arriving
- Medicaid in Illinois: leaving or arriving
- Moving with Medicaid: every state
- Minnesota to New Hampshire Medicaid
- Minnesota to Missouri Medicaid
- Minnesota to Oregon Medicaid
- Minnesota to North Carolina Medicaid
Other benefits on the same move
- SNAP: Minnesota to Illinois
- WIC: Minnesota to Illinois
- Unemployment: Minnesota to Illinois
- TANF: Minnesota to Illinois
Terms on this page: Federal poverty level (FPL) · Medicaid expansion · Retroactive Medicaid coverage
Official sources
Every fact above was checked against these official pages. Last verified .
- Minnesota DHS — Medical Assistance — accessed 2026-08-08
- Minnesota DHS — Income and asset limits — accessed 2026-08-08
- HFS Medical Clients — accessed 2026-08-08
- HFS Medical Programs (ACA Adult, 138% FPL) — accessed 2026-08-08