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1 AN ACT concerning public aid.

2 Be it enacted by the People of the State of Illinois, 
3represented in the General Assembly:

4 Section 5. The Illinois Public Aid Code is amended by 
5adding Section 12-4.59 as follows:

6 (305 ILCS 5/12-4.59 new)
7 Sec. 12-4.59. Informational guide on Medicaid 5-year 
8look-back period. 
9 (a) Informational guide. On and after July 1, 2025, the 
10Department of Healthcare and Family Services shall develop, 
11post, and maintain on its official website a comprehensive 
12informational guide that explains the Medicaid 5-year 
13look-back period as it applies to eligibility for long-term 
14care coverage under the medical assistance program established 
15under Article V of this Code. The contents of the 
16informational guide must include the following:
17  (1) Overview of the Medicaid 5-year look-back period: 
18 A detailed explanation of the 5-year look-back period, 
19 including its purpose and relevance to eligibility for 
20 medical assistance.
21  (2) Eligibility criteria affected by the Medicaid 
22 5-year look-back period: Clear information on how the 
23 5-year look-back period affects eligibility criteria, 
 
 
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1 including income and asset requirements.
2  (3) Calculation of the Medicaid 5-year look-back 
3 period: Step-by-step guidance on how the 5-year look-back 
4 period is calculated, including the start date and end 
5 date considerations.
6  (4) Examples and scenarios: Real-life examples and 
7 scenarios illustrating how the 5-year look-back period 
8 applies in different situations, providing practical 
9 insights for the public. The guide must include a 
10 calculator that allows a user to enter the transfer dates 
11 and monetary value of any assets the user transferred 
12 during the 5-year look back period in order to estimate 
13 the earliest date upon which the user may qualify for 
14 medical assistance for long-term care services.
15  (5) Transfers or gifts during the Medicaid 5-year 
16 look-back period: Explanation of the consequences and 
17 implications of transfers or gifts made during the 5-year 
18 look-back period, emphasizing the impact on eligibility 
19 and potential penalties.
20  (6) Exceptions and exemptions: Information on 
21 exceptions and exemptions to the 5-year look-back period, 
22 clarifying circumstances where certain transfers or assets 
23 may not be subject to scrutiny.
24  (7) Documentation requirements: Guidance on the 
25 documentation individuals may need to provide or maintain 
26 to demonstrate compliance with the 5-year look-back 
 
 
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