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.

Identifiers				Standards of Eligibility
							Income Threshold by Age Group
State	Program	Phase or Component	Amend.#	Age Group Covered (Children)	Income Threshold	Income Threshold Varies by Age Group	Infants	Other Age Group	Threshold for Other Age Group (% FPL)	Income Disregards	Assets Test	Residency Requirement	Description of Residency Requirement
AK	AK Denali KidCare		NA	<19	200	No	NA	NA	NA	--	No	--
AL	AL SCHIP	Phase 1
AL	AL SCHIP	Phase 1	NA	<19	100	No	NA	NA	NA	Yes	--	--
AL	AL SCHIP	All Kids (Phase 2)
AL	AL SCHIP	All Kids (Phase 2)	1	<19	200	No	NA	NA	NA	No	No	No
AL	AL SCHIP	All Kids (Phase 2)	2
AL	AL SCHIP	Plus (Phase 3)
AL	AL SCHIP	Plus (Phase 3)	2	<19	200	No	NA	NA	NA	No	No	No
AR	AR SCHIP	Phase I - ARKids A
AR	AR SCHIP	Phase I - ARKids A	NA	<19	100	No	NA	NA	NA	--	No	--
AR	AR SCHIP	Phase II - ARKids B
AR	AR SCHIP	Phase II - ARKids B	1	<19	200	No	NA	NA	NA	Yes	No	No
AS	AS SCHIP		NA	< 19	100	No	NA	NA	NA	--	--	--
AZ	KidsCare		NA	<19	150	No	NA	NA	NA	NR	No	No
AZ	KidsCare		1
AZ	KidsCare		2		200
AZ	KidsCare		3
AZ	KidsCare		4
CA	Healthy Families	Medi-Cal Expansion
CA	Healthy Families	Medi-Cal Expansion	NA	<19	100	No	NA	NA	NA	Yes	No	--
CA	Healthy Families	Medi-Cal Expansion	1							No
CA	Healthy Families	Medi-Cal Expansion	2
CA	Healthy Families	Health Insurance Plan (MRMIB)
CA	Healthy Families	Health Insurance Plan (MRMIB)	NA	1-18	200	No	NA	NA	NA	Yes	No	No
CA	Healthy Families	Health Insurance Plan (MRMIB)	2
CA	Healthy Families	Health Insurance Plan (MRMIB)	3	<19	250
CA	Healthy Families	Health Insurance Plan (MRMIB)	4
CA	Healthy Families	Health Insurance Plan (MRMIB)	5
CA	Healthy Families	Access for Infants and Mothers (AIM)
CA	Healthy Families	Access for Infants and Mothers (AIM)	NA	<1	250	No	NA	NA	NA	NR	NR	Yes	Mother must have lived in CA 6 months prior to application
CA	Healthy Families	Access for Infants and Mothers (AIM)	2
CA	Healthy Families	Access for Infants and Mothers (AIM)	3
CA	Healthy Families	Access for Infants and Mothers (AIM)	4
CA	Healthy Families	Access for Infants and Mothers (AIM)	5
CA	Healthy Families	Child Health and Disability Prevention Program
CA	Healthy Families	Child Health and Disability Prevention Program	NA	<19	200	No	NA	NA	NA	NR	NR	NR
CA	Healthy Families	Child Health and Disability Prevention Program	2
CA	Healthy Families	Child Health and Disability Prevention Program	3
CA	Healthy Families	California Children`s Services
CA	Healthy Families	California Children`s Services	NA	<19	NA	No	NA	NA	NA	NR	NR	NR
CA	Healthy Families	California Children`s Services	2
CA	Healthy Families	County Mental Health Program
CA	Healthy Families	County Mental Health Program	NA	NR	NR	No	NA	NA	NA	NR	NR	No
CA	Healthy Families	County Mental Health Program	2
CO	CHP+		NA	<18	185	No	NA	NA	NA	Yes	Yes	No
CO	CHP+		1	<19
CO	CHP+		2								No
CT	HUSKY Program	Part A
CT	HUSKY Program	Part A	NA	14-16	185	No	NA	NA	NA	No	No	--
CT	HUSKY Program	Part A	0	<19
CT	HUSKY Program	Part A	1
CT	HUSKY Program	Part B
CT	HUSKY Program	Part B	NA	<19	300	No	NA	NA	NA	Yes	No	No
CT	HUSKY Program	Part B	1
CT	HUSKY Program	HUSKY Plus Plan for Children with Special Physical Health Needs	NA	<19	300	No	NA	NA	NA	Yes	No	No
CT	HUSKY Program	HUSKY Plus Plan for Children with Special Physical Health Needs	1
CT	HUSKY Program	HUSKY Plus Behavioral Health Plan	NA	<19	300	No	NA	NA	NA	Yes	No	No
CT	HUSKY Program	HUSKY Plus Behavioral Health Plan	1
DC	DC Healthy Kids		NA	<19	200	No	NA	NA	NA	Yes	No	--
DE	Delaware Healthy Children`s Program		NA	<19	200	No	NA	NA	NA	Yes	No	No
DE	Delaware Healthy Children`s Program		1
FL	FL KidCare	Medicaid expansion
FL	FL KidCare	Medicaid expansion	NA	<19	100	No	NA	NA	NA	Yes	No	--
FL	FL KidCare	Medicaid expansion	1
FL	FL KidCare	Healthy Kids
FL	FL KidCare	Healthy Kids	NA	5-18	185	No	NA	NA	NA	No	No	Yes	Proof of residency within a particular school district.
FL	FL KidCare	Healthy Kids	1		200
FL	FL KidCare	Healthy Kids	3
FL	FL KidCare	Healthy Kids	4
FL	FL KidCare	Medi-Kids	1	< 5	200	No	NA	NA	NA	NR	No	No
FL	FL KidCare	Medi-Kids	4	1-4						No
FL	FL KidCare	CMS	1	< 19	200	No	NA	NA	NA	NR	No	No
FL	FL KidCare	CMS	4	1-18						No
GA	Peach Care for Kids		NA	<19	200	No	NA	NA	NA	NR	No	No
GA	Peach Care for Kids		0				NA	NA	NA
GA	Peach Care for Kids		1
GU	Guam SCHIP		NA	<19	NA	No	NA	NA	NA	--	--	--
HI	HI SCHIP	Phase I	NA	1-6	185	No	NA	NA	NA	--	--	--
HI	HI SCHIP	Phase I	1	< 19	200
IA	Hawk-I	Medicaid Expansion	NA	6-18	133	No	NA	NA	NA	--	--	--
IA	Hawk-I	Medicaid Expansion	4		200	Yes	200
IA	Hawk-I	Separate State Program	1	<19	185	No	NA	NA	NA	NR	No	No
IA	Hawk-I	Separate State Program	2							Yes
IA	Hawk-I	Separate State Program	3
IA	Hawk-I	Separate State Program	4		200					Yes
ID	ID SCHIP		NA	6-18	160	No	NA	NA	NA	--	--	--
ID	ID SCHIP		1		150						Yes
ID	ID SCHIP		2
IL	Kidcare	Phase 1	NA	< 18	133	No	NA	NA	NA	--	--	--
IL	Kidcare	Phase 2	1	< 19	185	No				Yes	No	No
IN	Hoosier Healthwise	Phase 1	NA	14-18	100	No	NA	NA	NA	--	--	--
IN	Hoosier Healthwise	Phase 1	0	<19	150
IN	Hoosier Healthwise	Phase 2	2	< 19	200	No	NA	NA	NA	NR	No	No
KS	HealthWave		NA	<19	200	No	NA	NA	NA	Yes	No	No
KS	HealthWave		1
KY	KCHIP	Medicaid Expansion
KY	KCHIP	Medicaid Expansion	NA	<19	100	No	NA	NA	NA	Yes	No	--
KY	KCHIP	Medicaid Expansion	1	1-18	150
KY	KCHIP	Insurance Product
KY	KCHIP	Insurance Product	NA	<19	200	No	NA	NA	NA	Yes	No	No
KY	KCHIP	Insurance Product	1
KY	KCHIP	Insurance Product	2
LA	LaCHIP		NA	6-18	133	No	NA	NA	NA	Yes	No	--
LA	LaCHIP		1		150
MA	MassHealth	Standard	NA	<19	150	Yes	200	1-18	150	Yes	No	--
MA	MassHealth	Family Assistance Direct Coverage	NA	1-18 and Parents	200	No	NA	NA	NA	Yes	No	No
MA	MassHealth	Family Assistance Premium Assistance	NA	1-18 and Parents	200	No	NA	NA	NA	Yes	No	No
MA	MassHealth	Common Health	NA	1-18	200	No	NA	NA	NA	Yes	No	No
MD	Maryland Children`s Health Program	Phase I	NA	<19	200	No	NA	NA	NA	--	--	--
MD	Maryland Children`s Health Program	Phase I	1
MD	Maryland Children`s Health Program	Phase II	2	< 19	300	No	NA	NA	NA	Yes	No	No
MD	Maryland Children`s Health Program	Phase II- ESI	2	none	300	No	NA	NA	NA	Yes	No	No
ME	ME CHIP Medicaid Expansion		NA	1-18	150	No	NA	NA	NA	--	--	--
ME	Cubcare		NA	1-18	185	No	NA	NA	NA	NR	No	No
ME	Cubcare		1	< 19	200
MI	MI SCHIP	MI CHILD	NA	<19	200	No	NA	NA	NA	NR	No	No
MI	MI SCHIP	MI CHILD	1
MI	MI SCHIP	MI CHILD	2
MI	MI SCHIP	Medicaid Expansion	1	<19	150	No	NA	NA	NA	--	--	--
MI	MI SCHIP	Medicaid Expansion	2
MN	Minnesota Medical Assistance Program		NA	<2	280	No	NA	NA	NA	--	No	--
MO	MC+ for Kids		NA	<19	300	No	NA	NA	NA	Yes	No	--
MO	MC+ for Kids		1
MP	CNMI SCHIP		NA	<19	NA	No	NA	NA	NA	--	Yes	--
MS	MS SCHIP	Phase I
MS	MS SCHIP	Phase I	NA	<19	100	No	NA	NA	NA	--	No	--
MS	MS SCHIP	Phase II
MS	MS SCHIP	Phase II	1	<18	133	No	NA	NA	NA	NR	No	Yes	Must be a Mississippi resident for 30 days prior to the application.
MS	MS SCHIP	Phase II	2		200
MS	MS SCHIP	Phase II	3
MS	MS SCHIP	Employer-sponsored coverage	1	none	133	No	NA	NA	NA	NR	No	Yes	Must be a Mississippi resident 30 days prior to application.
MT	MT SCHIP		NA	<19	150	No	NA	NA	NA	Yes	No	No
MT	MT SCHIP		1
NC	NC SCHIP		NA	<19	200	No	NA	NA	NA	Yes	No	No
NC	NC SCHIP		1
NC	NC SCHIP		2
NC	NC SCHIP		3
NC	NC SCHIP		4
NC	NC SCHIP		5
ND	Healthy Steps	Phase I
ND	Healthy Steps	Phase I	NA	18	100	No	NA	NA	NA	--	--	--
ND	Healthy Steps	Phase II
ND	Healthy Steps	Phase II	1	< 19	140	No	NA	NA	NA	NR	No	No
NE	Kid`s Connection		NA	<19	100	No	NA	NA	NA	--	--	--
NE	Kid`s Connection		1	<19	185
NH	Healthy Kids	Gold	NA	<1	300	No	NA	NA	NA	Yes	No	--
NH	Healthy Kids	Gold	1
NH	Healthy Kids	Silver	NA	1-18	300	No	NA	NA	NA	Yes	No	No
NJ	KidCare	Plan A	NA	1-18	133	No	NA	NA	NA	Yes	No	--
NJ	KidCare	Plan B	NA	1-18	150	No	NA	NA	NA	No	No	No
NJ	KidCare	Plan B	1
NJ	KidCare	Plan B	3
NJ	KidCare	Plan B	4
NJ	KidCare	Plan C	NA	<19	200	No	NA	NA	NA	No	No	No
NJ	KidCare	Plan C	1
NJ	KidCare	Plan C	3
NJ	KidCare	Plan C	4
NJ	KidCare	Plan D	2	<19	350	No	NA	NA	NA	Yes	No	No
NJ	KidCare	Plan D	3
NJ	KidCare	Plan D	4
NJ	KidCare	1115 Demonstration	NA
NM	NM SCHIP		NA	<19	235	No	NA	NA	NA	--	--	--
NM	NM SCHIP		2
NM	NM SCHIP	1115 Demonstration	NA
NV	Nevada Check-Up		NA	<19	200	No	NA	NA	NA	NR	No	Yes	Primary residence in NV for 6 months prior to application
NV	Nevada Check-Up		1									No
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS	NA	<19	185	No	NA	NA	NA	NR	No	No
NY	NY SCHIP	CHPLUS	2		192
NY	NY SCHIP	Medicaid Expansion	2	<19	100	No	NA	NA	NA	--	No	--
OH	OH Child Health Plan		NA	<19	150	No	NA	NA	NA	--	--	--
OH	OH Child Health Plan		1		200
OK	SoonerCare		NA	<19	185	No	NA	NA	NA	--	No	--
OK	SoonerCare		1	<19						Yes
OR	OR SCHIP		NA	<19	170	No	NA	NA	NA	NR	Yes	No
OR	OR SCHIP		2
OR	OR SCHIP		3
PA	PA SCHIP		NA	1-16	185	No	NA	NA	NA	NR	No	Yes	PA resident for 30 days prior to application.
PA	PA SCHIP		1	<18	200
PA	PA SCHIP		2
PA	PA SCHIP		3
PA	PA SCHIP		4
PR	PR SCHIP		NA	<19	200	No	NA	NA	NA	--	--	--
RI	RIte Care		NA	8-18	250	No	NA	NA	NA	--	No	No
RI	RIte Care		1	<19	300					Yes
RI	RIte Care	1115 Demonstration	NA
SC	Partners for Healthy Children		NA	<19	150	No	NA	NA	NA	--	--	--
SD	SD SCHIP		NA	6-18	133	No	NA	NA	NA	--	--	--
SD	SD SCHIP		1	< 19	140
SD	SD SCHIP		2
SD	SD SCHIP	CHIP NM	3	< 19	200	No	NA	NA	NA	Yes	No	No
TN	Tennessee`s CHIP	Phase I	NA	<19	100	No	NA	NA	NA	--	--	--
TX	Texas Healthy Steps	Phase I
TX	Texas Healthy Steps	Phase I	NA	<19	100	No	NA	NA	NA	--	--	--
TX	Texas Healthy Steps	Phase II
TX	Texas Healthy Steps	Phase II	1	< 19	200	No	NA	NA	NA	Yes	No	No
UT	UT SCHIP		NA	<19	200	No	NA	NA	NA	Yes	No	No
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	NA	<19	185	No	NA	NA	NA	Yes	No	No
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	1		200
VA	VA SCHIP	Family Access to Medical Insurance Security Plan (FAMIS) - ESI	1	none	200	No	NA	NA	NA	Yes	No	No
VI	Virgin Island`s SCHIP		NA	<19	100	No	NA	NA	NA	--	Yes	--
VI	Virgin Island`s SCHIP		1
VT	VT SCHIP		NA	<18	300	No	NA	NA	NA	Yes	No	NR
VT	VT SCHIP		1
VT	VT SCHIP		2
VT	VT SCHIP		3
WA	WA SCHIP		NA	<19	250	No	NA	NA	NA	NR	No	No
WA	WA SCHIP		1
WI	BadgerCare	Medicaid expansion
WI	BadgerCare	Medicaid expansion	NA	<19	100	No	NA	NA	NA	--	--	--
WI	BadgerCare	Medicaid expansion	1	all children and parents	185
WI	BadgerCare	Employer-sponsored Coverage	1	all children and parents	185	No	NA	NA	NA	--	--	--
WI	BadgerCare		NA
WV	WV SCHIP	Phase I	NA	1-5	150	No	NA	NA	NA	--	--	--
WV	WV SCHIP	Phase I	2
WV	WV SCHIP	Phase II	1	6-18	150	No	NA	NA	NA	Yes	No	No
WV	WV SCHIP	Phase II	2	1-18
WV	WV SCHIP	Phase II	3	< 19	200
WY	WY SCHIP	CHIP One	NA	6-18	133	No	NA	NA	NA	Yes	No	No