SCHIP Characteristics

  NR = not reported
  NA = not applicable
     -- = the state was not required to complete this section of the state plan
            template and did not volunteer the information.

IdentifiersAmendment Information and Footnotes (1-2)
State Program Phase or Component Amend.# Other Changes Made by AmendmentItem Footnoted (1)Footnote Text (1)Item Footnoted (2)Footnote Text (2)
AKAK Denali KidCare

NA





ALAL SCHIP
Phase 1






ALAL SCHIP
Phase 1
NA





ALAL SCHIP
All Kids (Phase 2)






ALAL SCHIP
All Kids (Phase 2)
1

M10
No copayments required for preventive care or well-baby visits.


ALAL SCHIP
All Kids (Phase 2)
2





ALAL SCHIP
Plus (Phase 3)






ALAL SCHIP
Plus (Phase 3)
2





ARAR SCHIP
Phase I - ARKids A






ARAR SCHIP
Phase I - ARKids A
NA





ARAR SCHIP
Phase II - ARKids B






ARAR SCHIP
Phase II - ARKids B
1





ASAS SCHIP

NA

B2
No individual eligibility determinations are made. Rather, the percentage of the population who are presumed to be eligible for the program is estimated each year. The presumed eligible population is the number of people whose incomes are below 100% of the poverty level, minus the number of illegal aliens. This is the same poverty level used by the Medicaid program.


AZKidsCare

NA

B2
The income threshold rises over time: 11/1/98, 150%; 7/1/99, 175%; 7/1/2000 - 9/30/07, 200%.
M1
Only for non-emergency use of the emergency room.
AZKidsCare

1
Amendment one to KidsCare changes the reasons a child would not be guranteed 12-month eligibility including: (1) the child's legal guardian fails to cooperate to meet program requirements, (2) child's whereabouts are unknown, (3) failure to pay premiums, (4) child is a patient in an institution for mental illness, (5) voluntary withdrawal.




AZKidsCare

2
Amendment two to KidsCare eliminates the requirement of applicants to choose a contractor or service provider before the application is approved; physician's assistants may bill independently for behavioral health visits; references to the use of Title XXI funding for direct services provided by community health care clinics and hospitals were deleted; behavioral health services are limited to 30 days of inpatient services per year and 30 outpatient visits per year.
M5
For families with incomes between 150-175% FPL, the maximum per child is $10 per month.
M7
For families with incomes between 150-175% FPL, the maximum premium per family is $15 per month.
AZKidsCare

3
Amendment three to KidsCare states that childen who have reached the lifetime limit on private insurance are considered uninsured and not subject to the six month waiting period.




AZKidsCare

4
Amendment four to KidsCare allows parental declaration of income for the program.




CAHealthy Families
Medi-Cal Expansion






CAHealthy Families
Medi-Cal Expansion
NA





CAHealthy Families
Medi-Cal Expansion
1





CAHealthy Families
Medi-Cal Expansion
2
Amendment two to Healthy Families, Medi-Cal increases the enrollment broker fees from $25 to $50 per successful applicant and exempts Indian children from copayments when they use Indian Health Service funded clinics.




CAHealthy Families
Health Insurance Plan (MRMIB)






CAHealthy Families
Health Insurance Plan (MRMIB)
NA

M11
No copay for prenatal care, well-baby or well-child vists, or immunizations.
M2
Premiums are set on a sliding scale, determined in part on the delivery plan chosen by the enrollee.
CAHealthy Families
Health Insurance Plan (MRMIB)
2
Amendment two to Healthy Families, MRMIB increases the enrollment broker fees from $25 to $50 per successful applicant and exempts Indian children from copayments when they use Indian Health Service funded clinics.




CAHealthy Families
Health Insurance Plan (MRMIB)
3
Amendment three to Healthy Families, MRMIB expands eligibility by applying Medi-Cal income deductions when determining eligibility for the Healthy Families Program.




CAHealthy Families
Health Insurance Plan (MRMIB)
4
Amendment four to Healthy Families, MRMIB allows a Family Contribution Sponsor to pay a specific child's Healthy Families Program premiums for the first year of enrollment.




CAHealthy Families
Health Insurance Plan (MRMIB)
5
Amendment five to Healthy Families, MRMIB exempts Native American and Alaska Native children from cost sharing requirements. This is a federal requirement for SCHIP.




CAHealthy Families
Access for Infants and Mothers (AIM)






CAHealthy Families
Access for Infants and Mothers (AIM)
NA





CAHealthy Families
Access for Infants and Mothers (AIM)
2
Amendment two to Healthy Families, AIM increases the enrollment broker fees from $25 to $50 per successful applicant and exempts Indian children from copayments when they use Indian Health Service funded clinics.




CAHealthy Families
Access for Infants and Mothers (AIM)
3





CAHealthy Families
Access for Infants and Mothers (AIM)
4
Amendment four to Healthy Families, AIM impacts the AIM allows a Family Contribution Sponsor to pay a specific child's Healthy Families Program premiums for the first year of enrollment.




CAHealthy Families
Access for Infants and Mothers (AIM)
5
Amendment five to Healthy Families, AIM exempts Native American and Alaska Native children from cost sharing requirements. This is a federal SCHIP requirement.




CAHealthy Families
Child Health and Disability Prevention Program






CAHealthy Families
Child Health and Disability Prevention Program
NA

B1
Or less than 21 and eligible for Medi-Cal.


CAHealthy Families
Child Health and Disability Prevention Program
2
Amendment two to Healthy Families, Child Health and Disability Prevention Program increases the enrollment broker fees from $25 to $50 per successful applicant and exempts Indian children from copayments when they use Indian Health Service funded clinics.




CAHealthy Families
Child Health and Disability Prevention Program
3
Amendment three to Healthy Families, Child Health and Disability Prevention Program changes the provider claiming period for services received prior to enrollment from 30 to 90 days.




CAHealthy Families
California Children`s Services






CAHealthy Families
California Children`s Services
NA

B2
Gross family income <$40,000/yr. or projected medical costs > 20% of family income.


CAHealthy Families
California Children`s Services
2
Amendment two to Healthy Families, California Children's Health Services increases the enrollment broker fees from $25 to $50 per successful applicant and exempts Indian children from copayments when they use Indian Health Service funded clinics.




CAHealthy Families
County Mental Health Program






CAHealthy Families
County Mental Health Program
NA





CAHealthy Families
County Mental Health Program
2
Amendment two to Healthy Families, County Mental Health Program increases the enrollment broker fees from $25 to $50 per successful applicant and exempts Indian children from copayments when they use Indian Health Service funded clinics.




COCHP+

NA

J23
For HMO enrollees only. Service not included under the CHP+ provider Network Coverage.
J38
Skilled nursing and organ transplants are covered for HMO enrollees only. Services are not included under the CHP+ Provider Network Coverage.
COCHP+

1
Amendment one to CHP+ adds case management services for HMO enrollees, discontinues transportation services for those enrolled in the CHP+ provider network.




COCHP+

2





CTHUSKY Program
Part A






CTHUSKY Program
Part A
NA

iif
As of 1/1/98, the program was expanded to cover children ages 16-18 (born prior to 9/30/83).
F4
Enrollment broker will conduct some outreach activities, along with a statewide children's health advocacy group.
CTHUSKY Program
Part A
0





CTHUSKY Program
Part A
1





CTHUSKY Program
Part B






CTHUSKY Program
Part B
NA

B2
<=235% FPL, after 65% income disregard. Families with incomes above 300 percent FPL can purchase coverage without state subsidy.
F4
Enrollment broker will conduct some outreach activities, along with a statewide children's health advocacy group.
CTHUSKY Program
Part B
1
Amendment one to the HUSKY Program, Part Ballows federal employees and children of some municipal employees to be eligible for HUSKY B.




CTHUSKY Program
HUSKY Plus Plan for Children with Special Physical Health Needs
NA

B2
<=235% FPL, after 65% income disregard. Families with incomes above 300 percent FPL can purchase coverage without state subsidy.
F4
Enrollment broker will conduct some outreach activities, along with a statewide children's health advocacy group.
CTHUSKY Program
HUSKY Plus Plan for Children with Special Physical Health Needs
1
Amendment one to the HUSKY Program, HUSKY Plus Plan for Children with Special Physical Health Needs implements full mental health parity by eliminating limitations on inpatient and outpatient treatment of DSM IV mental health conditions or substance abuse problems.




CTHUSKY Program
HUSKY Plus Behavioral Health Plan
NA

B2
<=235% FPL, after 65% income disregard. Families with incomes above 300 percent FPL can purchase coverage without state subsidy.
F4
Enrollment broker will conduct some outreach activities, along with a statewide children's health advocacy group.
CTHUSKY Program
HUSKY Plus Behavioral Health Plan
1
Amendment one to the HUSKY Program, HUSKY Plus Behavioral Health Program implements full mental health parity by eliminating limitations for inpatient and outpatient treatment of DSM IV mental health conditions or substance abuse problems.




DCDC Healthy Kids

NA





DEDelaware Healthy Children`s Program

NA

M3
101-133% FPL = $10/month/family 134-166% FPL = $15/month/family 167-200% FPL = $25/month/family


DEDelaware Healthy Children`s Program

1
Amendment one to Delaware Healthy Children's Program states that all wages paid by the Census Bureau for temporary employment related to Census 2000 activities are excluded for the period April 1, 2000 through December 31, 2000.




FLFL KidCare
Medicaid expansion






FLFL KidCare
Medicaid expansion
NA





FLFL KidCare
Medicaid expansion
1





FLFL KidCare
Healthy Kids






FLFL KidCare
Healthy Kids
NA

J22
Counties have the option of providing this benefit.


FLFL KidCare
Healthy Kids
1





FLFL KidCare
Healthy Kids
3
Amendment three to FL KidCare, Healthy Kids states that Florida developed a dental services pilot project in Palm Beach and Dade County. Providers have already signed contracts to provide limited dental benefits to Healthy Kids enrollees beginning in the fall of 1999. The pilot is to run for a minimum of 18 months, and will culminate with an in-depth project evaluation. Based on the findings of the evaluation, the program may expand to other areas of the state. Also, Flordia uses a third party administrator to pre-screes applications for Medicaid eligibility. The administrator also processess KidCare applications for children not eligible for Medicaid.
J22
Dental services pilot created in Palm Beach and Dade County. Other areas of the state may eventually join the pilot. At a minimum, children receive x-rays and two cleanings per year.


FLFL KidCare
Healthy Kids
4





FLFL KidCare
Medi-Kids
1





FLFL KidCare
Medi-Kids
4
Amendment four to FL KidCare Medi-Kids implements mandatory assignment for children whose families do not chose a managed care provider within 10 days of receiving a choice-counseling letter.




FLFL KidCare
CMS
1





FLFL KidCare
CMS
4





GAPeach Care for Kids

NA

M2
Required for children over 6.


GAPeach Care for Kids

0





GAPeach Care for Kids

1
Amendment one to Peach Care for Kids states that if coverage is terminated due to nonpayment of premium, coverage may be reinstated at any time within the 12 month eligibility period, with the payment of premium for month of reinstatement. Coverage will resume the first of the next month.




GUGuam SCHIP

NA

B2
Guam will use the same eligibility as the Medicaid program.


HIHI SCHIP
Phase I
NA





HIHI SCHIP
Phase I
1





IAHawk-I
Medicaid Expansion
NA





IAHawk-I
Medicaid Expansion
4





IAHawk-I
Separate State Program
1





IAHawk-I
Separate State Program
2
Amendment two to Hawk-I, Separate State Programallows for a 20-percent deduction to earned income in determining eligibility for the HAWK-I program, and includes an additional managed health care plan, Unity Choice from Wellmark Health Plan of Iowa.




IAHawk-I
Separate State Program
3
Amendment three to Hawk-I, Separate State Program adds a third managed care plan, John Deere Health Plan to selected counties in Iowa. The plan also removes cost sharing for American Indians/Alaska Native children and allows a deduction for depreciation of capital assets when considering self-employment income.




IAHawk-I
Separate State Program
4

B12
20% of earned income will be exempt when determining family income. Also, income from self-employment will be the gross income minus the cost of doing business. This includes the depreciation of capital assets as identified for income tax purposes.


IDID SCHIP

NA





IDID SCHIP

1





IDID SCHIP

2
Amendment two to ID SCHIP states that in order to increase coordination efforts, the state created an executive oversight committee responsible for overall project direction and quality improvement activities for SCHIP. The state also simplified the application and improved outreach approaches. The state eliminated the requirement for proof of citizenship from non-applicants and annualized income for enrollment in order to assist seasonal or temporary workers.




ILKidcare
Phase 1
NA

F6
Applicants may not fax applications since an original signature is required.


ILKidcare
Phase 2
1

B12
Income exemptions under Phase 2 are the same as the exemptions under Medicaid.
F2
The department may release an RFP to contract with multiple entitites to identify and implement creative outreach strategies to locate and enroll hard-to-reach populations.
INHoosier Healthwise
Phase 1
NA





INHoosier Healthwise
Phase 1
0





INHoosier Healthwise
Phase 2
2





KSHealthWave

NA





KSHealthWave

1
Amendment one to Heathwave changes the state's Title XXI State plan to allow an infant born to a mother, who is under age 19 and enrolled in HealthWave, to retroactively enroll in HealthWave starting with the month of birth as a means of ensuring continuity of care for the newborn. However, the infant must be screened for Medicaid eligibility and enrolled in Medicaid, if appropriate, no later than 90 days from the date the Agency was notified of the infant’s birth. The mother of the infant will already be screened for Medicaid eligibility as a pregnant woman, with a family size that includes the unborn child. This amendment also specifies that the clearinghouse contractor is responsible for enrollment of HealthWave eligibles into participating health plans.




KYKCHIP
Medicaid Expansion






KYKCHIP
Medicaid Expansion
NA





KYKCHIP
Medicaid Expansion
1





KYKCHIP
Insurance Product






KYKCHIP
Insurance Product
NA





KYKCHIP
Insurance Product
1





KYKCHIP
Insurance Product
2
Amendment two to KCHIP, Insurance Product changes the service delivery mechanism from accountable pediatric organizations to a Medicaid-look alike. Health care services include all current Medicaid services except non-emergency transportation and EPSDT special services.




LALaCHIP

NA





LALaCHIP

1





MAMassHealth
Standard
NA

B5
Pregnant teens (<=18 years) covered to 200% FPL.
F8
State makes "mini-grants" to community-based organizations to conduct outreach.
MAMassHealth
Family Assistance Direct Coverage
NA

F8
State makes "mini-grants" to community-based organizations to conduct outreach.
B13A
The program is not open to students whose parents live outside the state and to those who come to Massachusetts for medical care in a setting other than a nursing facility and who maintain a residence outside of Massachusetts. Individuals in penal institutions are not eligible for MassHealth.
MAMassHealth
Family Assistance Premium Assistance
NA

F8
State makes "mini-grants" to community-based organizations to conduct outreach.
B13A
Not open to students whose parents live outside the state and to those who come to Massachusetts for medical care in a setting other than a nursing facility and who maintain a residence outside of Massachusetts. Individuals in penal institutions are not eligible for MassHealth.
MAMassHealth
Common Health
NA

F8
State makes "mini-grants" to community-based organizations to conduct outreach.
B13A
Not open to students whose parents live outside the state and to those who come to Massachusetts for medical care in a setting other than a nursing facility and who maintain a residence outside of Massachusetts. Individuals in penal institutions are not eligible for MassHealth.
MDMaryland Children`s Health Program
Phase I
NA





MDMaryland Children`s Health Program
Phase I
1
Amendment one to Maryland Children's Health Program, Phase I adds coverage of the Maryland Kids Count program, a Section 1115 demonstration, to the SCHIP population. The population added to SCHIP includes children who are born after September 30, 1983 who are in families below 185% FPL but who do not qualify for SOBRA eligibility for Medicaid. Thus, children ages one through five in families with income above 133% of FPL and children ages six and above who were born after September 30, 1983 who are in families with income over 100% of FPL will be newly added to MD's SCHIP.




MDMaryland Children`s Health Program
Phase II
2





MDMaryland Children`s Health Program
Phase II- ESI
2

M1
The employer will withhold the employee's share of the insurance premium and the state will issue a check to the family once a month, prior to the payroll deduction to cover the state subsidy.


MEME CHIP Medicaid Expansion

NA





MECubcare

NA





MECubcare

1
Amendment one to Cubcare states that American Indian and Alaska Native children are not required to enroll in mandatory managed care.




MIMI SCHIP
MI CHILD
NA





MIMI SCHIP
MI CHILD
1
Amendment one to MI SCHIP, MI CHILD requires final eligibility determinations to be done by state staff. Established a 12-month lock-in to health plans with changes allowed in the first 30 days of enrollment and for the cause thereafter.




MIMI SCHIP
MI CHILD
2
Amendment two to MI SCHIP, MI CHILD allows self-declaration of income and modifies the redetermination process.




MIMI SCHIP
Medicaid Expansion
1





MIMI SCHIP
Medicaid Expansion
2
Amendment two to MI SCHIP, Medicaid Expansion establishes self-declaration of income and simplifies the redermination process.




MNMinnesota Medical Assistance Program

NA





MOMC+ for Kids

NA

B2
Gross income; 200% net income after 100% income disregard.
B12
Equal to 100% FPL.
MOMC+ for Kids

1

M10
Copayments apply to children with family incomes greater than 185% FPL.
M11
No copayments required for well-baby visits.
MPCNMI SCHIP

NA

B2
CNMI will use the same eligibility as the Medicaid program.


MSMS SCHIP
Phase I






MSMS SCHIP
Phase I
NA





MSMS SCHIP
Phase II






MSMS SCHIP
Phase II
1





MSMS SCHIP
Phase II
2





MSMS SCHIP
Phase II
3





MSMS SCHIP
Employer-sponsored coverage
1
Amendment one to MS CHIP, Employer-sponsored coverage states that Mississippi will provide secondary coverage for children enrolled in employer-sponsored plans by providing no-cost well-child visits and immunizations if not covered by the employer-sponsored plan.




MTMT SCHIP

NA

M7
MT has an annual enrollment fee of $12-15 per family. There is no monthly premium.


MTMT SCHIP

1
Amendment one to MT SCHIP states that birth control contraceptives are no longer a covered benefit. The state changed the required time to process SCHIP applications from within 5 working days to within 10 working days. The maximum annual copayment was increased from $200 to $215.
B2
All wages paid by the Census Bureau for temporary employment related to Census 2000 activities are excluded. SCHIP excludes $120 per month for each earned-income earner and up to $200 per month for each person for whom dependent care is paid.


NCNC SCHIP

NA

B18
6 months after the program is in effect, the waiting period is 60 days.
B2
Enrollees with incomes up to 225%FPL may buy into the program at full premium cost.
NCNC SCHIP

1
Amendment one to NC SCHIP changes the definition of "uninsured" to mean the applicant is and was not covered under any private plan for 60 days immediately preceding the application.




NCNC SCHIP

2
Amendment two to NC SCHIP allows school-based health centers to deliver clinic services.




NCNC SCHIP

3
Amendment three to NC SCHIP expands dental services to include flouride applications twice during a 12-month period, sealants, simple extractions, therapeutic pulpotomies, and prefabricated stainless steel crowns.




NCNC SCHIP

4
Amendment four to NC SCHIP exempts special needs children from the 2-month waiting period of uninsurance required for program eligibility if health insurance benefits are terminated due to a long-term disability or substantial reduction in or limitation of lifetime medical benefits or benefit category.




NCNC SCHIP

5
Amendment five to NC SCHIP permits the state to establish a freeze on new enrollments in order to stay within the federal and state budget parameters. The state anticipates closing new enrollments for an unspecified amount of time beginning January 1, 2001. Families will continue to file applications to the program and the eligibility information system will establish a computerized waiting list. When the Division of Medical Assistance determines that it is financially possible to allow for new enrollees, applications will be activated according to the order on the waiting list.




NDHealthy Steps
Phase I






NDHealthy Steps
Phase I
NA





NDHealthy Steps
Phase II






NDHealthy Steps
Phase II
1

M8
A $50 deductible will be applied to families for the first day of each inpatient hospital admission in a general hospital or psychiatric or substance abuse inpatient facility.


NEKid`s Connection

NA





NEKid`s Connection

1





NHHealthy Kids
Gold
NA





NHHealthy Kids
Gold
1
Amendment one to Healthy Kids Gold modifies the benefits package. Prescription contraceptive drugs are limited to FDA approved oral contraceptives and Depoprovera. Emergency dental treatment is covered at 100%, and coverage of fillings is expanded to to 100%, up to a maximum of $500 per child per year.




NHHealthy Kids
Silver
NA

M4
$20/month for families between 185-250% FPL.
M11
Does not apply to well-child visits, preventive health visits or dental check-ups.
NJKidCare
Plan A
NA





NJKidCare
Plan B
NA





NJKidCare
Plan B
1





NJKidCare
Plan B
3
Amendment three to KidCare, Plan B states that children are exempt from the six month period of uninsurance prior to application if the child was covered under an individual health benefits plan or COBRA plan prior to application for NJ KidCare. Exceptions are also granted if the child had not been voluntarily disenrolled from an employer-sponsored group insurance plan during the six-month period prior to application for NJ KidCare, or the child loses insurance as a result of a job change, when the insured does not have access to affordable coverage in the new job.




NJKidCare
Plan B
4





NJKidCare
Plan C
NA

M11
Exceptions for well-child visits.


NJKidCare
Plan C
1





NJKidCare
Plan C
3
Amendment three to KidCare, Plan C states that children are exempt from the six month period of uninsurance prior to application if the child was covered under an individual health benefits plan or COBRA plan prior to application for NJ KidCare. Exceptions are also granted if the child had not been voluntarily disenrolled from an employer-sponsored group insurance plan during the six-month period prior to application for NJ KidCare, or the child loses insurance as a result of a job change, when the insured does not have access to affordable coverage in the new job.




NJKidCare
Plan C
4





NJKidCare
Plan D
2

M11
Exceptions for well-child visits.


NJKidCare
Plan D
3
Amendment three to KidCare, Plan D states that children are exempt from the six month period of uninsurance prior to application if the prior coverage was lost because the employee changed jobs and does not have access to affordable coverage in the new job.




NJKidCare
Plan D
4





NJKidCare
1115 Demonstration
NA





NMNM SCHIP

NA

F10
Applicants for TANF and Food Stamps are screened for SCHIP eligibility.
B17
Exceptions to the 12-month ineligibility rule are made for involuntary loss of insurance, including the dropping of coverage by the employer; a catastrophic illness in a family possessing limited coverage; underinsured with special needs; and a change in marital status or any other change in circumstances which may inadvertently affect coverage.
NMNM SCHIP

2
Amendment two to NM SCHIP exempts Native American children from making copayments. This is a federal SCHIP requirement.




NMNM SCHIP
1115 Demonstration
NA





NVNevada Check-Up

NA

M7
$50/quarter for families above 175% FPL $25/quarter for families 151-175% FPL $10/quarter for families below 151% FPL
B21
The eligibility of all enrollees in the program is redetermined at the same time each year, regardless of the date of enrollment.
NVNevada Check-Up

1





NYNY SCHIP
CHPLUS






NYNY SCHIP
CHPLUS






NYNY SCHIP
CHPLUS
NA

F9
Phased in beginning in fall 1998, then statewide in late 1999.
M5
Premiums are on a sliding scale.
NYNY SCHIP
CHPLUS
2





NYNY SCHIP
Medicaid Expansion
2





OHOH Child Health Plan

NA





OHOH Child Health Plan

1
Amendment one to OH Child Health Plan changes the redetermination period from 6 months to one year.




OKSoonerCare

NA

F11
A simplified application has been developed for those applying for AFDC-related benefits.


OKSoonerCare

1





OROR SCHIP

NA





OROR SCHIP

2
Amendment two to OR SCHIP revises several of the program's performance measures. Specifically, the State revised the measure that lists focus groups and structured interviews as a means of determining quality and appropriateness of care, and instead is relying on consumer satisfaction surveys for consumer feedback and meetings with agency personnel. The State revised the section on clinical measures and utilization to specify that "utilization" rather than "trends" will be monitored in the SCHIP population. The section listing the performance goals for Oregon SCHIP enrollees was revised to delete early childhood caries and treating children's ear infections, since these will be included in the Oregon Health Plan (OHP) measures (combined Medicaid and SCHIP) and will not be collected other than for the SCHIP population. The External Quality Review Organization no longer samples specific SCHIP measurements.




OROR SCHIP

3
Amendment three to OR SCHIP increases the number of children permitted to be covered under the State's enrollment cap from 16,800 (as stated in the original State plan) to approximately 19,800 children.




PAPA SCHIP

NA

M1
Cost sharing for prescription drugs.


PAPA SCHIP

1
Amendment one to PA SCHIP eliminates cost sharing for prescription drugs. The amendment also eliminates the 2.5% in-kind contribution previously imposed on grantees.




PAPA SCHIP

2
Amendment two to PA SCHIP changes the eligibility standards methodology to allow a work-expense deduction and day-care expense deduction to be subtracted from gross earnings to determine net available income.




PAPA SCHIP

3





PAPA SCHIP

4





PRPR SCHIP

NA





RIRIte Care

NA

M10
Enrollees have a choice between a premium or copayment option.
M4
Premiums are required on a sliding scale.
RIRIte Care

1
Amendment one to RIte Care eliminates the interview process.
B12
Earnings of dependent children are disregarded unless children are employed full time.


RIRIte Care
1115 Demonstration
NA





SCPartners for Healthy Children

NA





SDSD SCHIP

NA





SDSD SCHIP

1





SDSD SCHIP

2
Amendment two to SD SCHIP eliminated cost sharing for 18-year olds. There is no cost sharing required in South Dakota's SCHIP program.




SDSD SCHIP
CHIP NM
3





TNTennessee`s CHIP
Phase I
NA





TXTexas Healthy Steps
Phase I






TXTexas Healthy Steps
Phase I
NA





TXTexas Healthy Steps
Phase II






TXTexas Healthy Steps
Phase II
1





UTUT SCHIP

NA

M10
No copayment for well-baby/well-child care and immunizations.
M11
$5 if family income is below 150% FPL.
VAVA SCHIP
Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan
NA

J21
Only to save the life of the mother.


VAVA SCHIP
Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan
1
Amendment one to VA SCHIP changes the name of the program from Children's Medical Security Insurance Plan to Family Access to Medical Insurance Security Plan (FAMIS).




VAVA SCHIP
Family Access to Medical Insurance Security Plan (FAMIS) - ESI
1





VIVirgin Island`s SCHIP

NA

B2
The Virgin Islands will use the same eligibility as the Medicaid program.


VIVirgin Island`s SCHIP

1
The Virgin Islands originally proposed to use SCHIP funds to extend Title XXI coverage to Medicaid children after the Territory ran out of federally capped Medicaid dollars. The SCHIP funds were used to pay inpatient pediatric medical bills for children in the Territory's two hospitals. Amendment one allows the Title SCHIP funds to pay pediatric bills incurred by any approved medical provider.




VTVT SCHIP

NA

M11
No copayments for well-baby or well child visits or for diagnostic and preventive dental visits; and the copayments begin 7/1/99.
M7
Premiums will increase to $20 per month per family when administratively possible.
VTVT SCHIP

1





VTVT SCHIP

2





VTVT SCHIP

3





WAWA SCHIP

NA

M10
No copayment required for well-baby and well-child services.


WAWA SCHIP

1
Amendment one to WA SCHIP expands the assignment of children into manged care health plans, eliminates the requirement for families to select a health plan as part of the application process, and eliminates the requirement for families to sign a written agreement to pay premiums as a condition of eligibility. The amendment also excludes temporary employment related income from Census 2000 activities.




WIBadgerCare
Medicaid expansion






WIBadgerCare
Medicaid expansion
NA

F6
A new mail in application will be developed.
F4
The enrollment contractor trains advocacy groups and community based agencies for outreach efforts.
WIBadgerCare
Medicaid expansion
1

B1
Medicaid eligibility is expanded for children 6-18. Custodial parents and other family members are covered when it is cost effective to do so.
A4
If the cost of employer-sponsored coverage for the family is less than the cost of enrolling only the children in BadgerCare, the state will purchase ESI family coverage using Title XXI funds.
WIBadgerCare
Employer-sponsored Coverage
1





WIBadgerCare

NA





WVWV SCHIP
Phase I
NA





WVWV SCHIP
Phase I
2
Amendment two to WV SCHIP, Phase I effectively eliminates the Medicaid expansion program and incorporates the enrollees into the state designed program, or Phase II of West Virginia's SCHIP.




WVWV SCHIP
Phase II
1





WVWV SCHIP
Phase II
2
Amendment two to WV SCHIP, Phase II effectively eliminates Phase I, the Medicaid expansion program, and incorporates enrollees into Phase II, the state designed program.




WVWV SCHIP
Phase II
3
Amendment three to WV SCHIP, Phase II changes the name of the program from Phase II to Phase III.
M10
Copayments are required for families over 150% FPL.
J7
Perscription benefit services are covered with mandatory generic substitution, which includes oral contraceptives.
WYWY SCHIP
CHIP One
NA

H7
Same coverage as provided under WY Medicaid Plan.