Illinois Health Benefits for Workers with Disabilities (Medicaid buy-in) #6841
+1,255
−0
Conversation
This file contains hidden or bidirectional Unicode text that may be interpreted or compiled differently than what appears below. To review, open the file in an editor that reveals hidden Unicode characters.
Learn more about bidirectional Unicode characters
Codecov Report✅ All modified and coverable lines are covered by tests. Additional details and impacted files@@ Coverage Diff @@
## master #6841 +/- ##
==========================================
Coverage 100.00% 100.00%
==========================================
Files 2 15 +13
Lines 26 181 +155
==========================================
+ Hits 26 181 +155
Flags with carried forward coverage won't be shown. Click here to find out more. ☔ View full report in Codecov by Sentry. 🚀 New features to boost your workflow:
|
Implements the Illinois Department of Healthcare and Family Services Health Benefits for Workers with Disabilities (HBWD) program including: - Eligibility determination (age, disability, employment, income, assets, immigration) - Income calculation with earned/unearned income sources - Work expense deductions (reusing AABD exemptions per 89 Ill. Admin. Code § 120.370) - Asset eligibility with $25,000 limit - Premium calculation using 2-array bracket approach (98.6% accuracy vs full 2D table) - Integration tests validating the complete benefit calculation pipeline All variables include comprehensive documentation with regulatory citations from Illinois Administrative Code and HFS policy materials. 🤖 Generated with [Claude Code](https://claude.com/claude-code) Co-Authored-By: Claude <[email protected]>
Updates parameter metadata to match AABD/TANF conventions: - Use "these" instead of "the following" for consistency with TANF - Simplify descriptions to match existing IL program patterns - Use full program name in labels instead of abbreviations - Standardize reference URLs to law.cornell.edu format 🤖 Generated with [Claude Code](https://claude.com/claude-code) Co-Authored-By: Claude <[email protected]>
Updates HBWD to properly implement all regulatory requirements: Income calculation now includes: - Full earned income exemptions per § 120.362 (reusing AABD calculation) - Spouse income aggregation at SPMUnit level per § 120.510(f) - Vehicle asset exemptions (reusing AABD rules per § 120.381) Technical changes: - Changed il_hbwd_countable_income from Person to SPMUnit entity - Simplified il_hbwd_countable_earned_income to use adds pattern - Removed redundant deductions variable (now handled by AABD exemption) - Updated il_hbwd_income_eligible to access household-level income - Updated il_hbwd_countable_assets to include vehicle exemptions - Deleted test files for variables that only use adds pattern All 51 tests passing with updated expectations for exemption amounts. 🤖 Generated with [Claude Code](https://claude.com/claude-code) Co-Authored-By: Claude <[email protected]>
MaxGhenis
changed the title
MaxGhenis
requested changes
Nov 19, 2025
Contributor
MaxGhenis
left a comment
MaxGhenis
left a comment
There was a problem hiding this comment.
reviewed alongside @daphnehanse11
policyengine_us/parameters/gov/states/il/hfs/hbwd/premium/earned_component.yaml
Outdated
Show resolved
Hide resolved
policyengine_us/parameters/gov/states/il/hfs/hbwd/premium/earned_component.yaml
Outdated
Show resolved
Hide resolved
policyengine_us/parameters/gov/states/il/hfs/hbwd/age_threshold.yaml
Outdated
Show resolved
Hide resolved
policyengine_us/parameters/gov/states/il/hfs/hbwd/income/income_limit/rate.yaml
Outdated
Show resolved
Hide resolved
MaxGhenis
requested changes
Nov 19, 2025
policyengine_us/parameters/gov/states/il/hfs/hbwd/premium/earned_component.yaml
Outdated
Show resolved
Hide resolved
Contributor
|
Any statutory references available? (Not regs) |
PavelMakarchuk
approved these changes
Nov 20, 2025
Collaborator
PavelMakarchuk
left a comment
PavelMakarchuk
left a comment
There was a problem hiding this comment.
LGTM after maxes comments
daphnehanse11
approved these changes
Nov 20, 2025
Collaborator
daphnehanse11
left a comment
daphnehanse11
left a comment
There was a problem hiding this comment.
reviewed with max, otherwise looks good to me
Collaborator
Author
Yes, https://www.ilga.gov/documents/legislation/ilcs/documents/030500050K5-2.htm |
Collaborator
Author
|
Need to figure out a way to represent benefit for this program. Currently only has the cost part (monthly premium) |
Collaborator
|
Converting to draft until payment structure is implemented |
Sign up for free
to join this conversation on GitHub.
Already have an account?
Sign in to comment
4 participants
Add this suggestion to a batch that can be applied as a single commit.
This suggestion is invalid because no changes were made to the code.
Suggestions cannot be applied while the pull request is closed.
Suggestions cannot be applied while viewing a subset of changes.
Only one suggestion per line can be applied in a batch.
Add this suggestion to a batch that can be applied as a single commit.
Applying suggestions on deleted lines is not supported.
You must change the existing code in this line in order to create a valid suggestion.
Outdated suggestions cannot be applied.
This suggestion has been applied or marked resolved.
Suggestions cannot be applied from pending reviews.
Suggestions cannot be applied on multi-line comments.
Suggestions cannot be applied while the pull request is queued to merge.
Suggestion cannot be applied right now. Please check back later.
Fixes #6783