Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Illinois?
Last verified October 17, 2026 · All Illinois resources
In Illinois, the asset limit is $17,500 single. Illinois' Community Care Program, which provides in-home services to people 60 and older at risk of nursing home placement, requires non-exempt assets of $17,500 or less; the home, car and personal furnishings are exempt. Participants must also apply for and, if eligible, enroll in Medicaid, and pass a Determination of Need assessment. For nursing home Medicaid, part of a person's income is applied to the cost of care, with deductions allowed for a spouse and dependents at home.
| Program | Illinois Department on Aging Community Care Program (CCP, the Persons Who Are Elderly waiver), Supportive Living Program, and Medicaid nursing facility care |
|---|---|
| How income is counted | other: no published income cap for long-term care; income above allowed deductions goes toward the cost of care |
| Asset limit (single) | $17,500 single (non-exempt assets, Community Care Program) |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Illinois Medicaid waivers that pay for home care.
How to apply in Illinois (Illinois Department of Healthcare and Family Services (HFS); Department of Human Services determines eligibility; Department on Aging runs CCP)
What should you confirm with the state?
Illinois does not post a single long-term care income limit; ask your local Care Coordination Unit or DHS Family Community Resource Center how your income will be counted.
More for Illinois
Medicaid eligibility by state: other states
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Operations
Private Pay vs. Medicaid: Choosing Your Agency's Payer Mix
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
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