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				Procedural Assurances
				Provisions to Ensure Medicaid Eligibles Are Enrolled in Medicaid
State	Program	Phase or Component	Amend.#	Joint Application	Same Eligibility Staff for SCHIP/ Medicaid	Applications Screened, Forwarded to Medicaid	Other Provisions	Specify Other Provisions
AK	AK Denali KidCare		NA	--	--	--	--
AL	AL SCHIP	Phase 1
AL	AL SCHIP	Phase 1	NA	Yes	--	--	--
AL	AL SCHIP	All Kids (Phase 2)
AL	AL SCHIP	All Kids (Phase 2)	1	Yes	No	Yes	NR
AL	AL SCHIP	All Kids (Phase 2)	2
AL	AL SCHIP	Plus (Phase 3)
AL	AL SCHIP	Plus (Phase 3)	2	Yes	No	Yes	NR
AR	AR SCHIP	Phase I - ARKids A
AR	AR SCHIP	Phase I - ARKids A	NA	--	--	--	--
AR	AR SCHIP	Phase II - ARKids B
AR	AR SCHIP	Phase II - ARKids B	1	Yes	Yes	No	Yes	The combined application form lets applicants choose the program for which they are applying. IF applicants choose ARKids B when they are eligible for ARKids A (Medicaid), the children will be enrolled in the 1115 demonstration component of ARKids B
AS	AS SCHIP		NA	--	--	--	--
AZ	KidsCare		NA	Yes	Yes	Yes	NR
AZ	KidsCare		1
AZ	KidsCare		2
AZ	KidsCare		3
AZ	KidsCare		4
CA	Healthy Families	Medi-Cal Expansion
CA	Healthy Families	Medi-Cal Expansion	NA	No	NA	NR	Yes	Contractor reviews the application and refers the family to Medicaid. Assistance is given with the Medi-Cal application.
CA	Healthy Families	Medi-Cal Expansion	1
CA	Healthy Families	Medi-Cal Expansion	2
CA	Healthy Families	Health Insurance Plan (MRMIB)
CA	Healthy Families	Health Insurance Plan (MRMIB)	NA	No	No	NR	Yes	Contractor reviews the application and refers the family to Medicaid. Assistance is given with the Medi-Cal application.
CA	Healthy Families	Health Insurance Plan (MRMIB)	2
CA	Healthy Families	Health Insurance Plan (MRMIB)	3
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	No	No	NR	NR
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	NR	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	NR	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	NR	NR
CA	Healthy Families	County Mental Health Program	2
CO	CHP+		NA	Yes	No	Yes	Yes	State plans to implement a fully-integrated CHP+/Medicaid eligibility system by July 2000.
CO	CHP+		1
CO	CHP+		2					The state plans to implement a fully-integrated CHP+/Medicaid eligibility system by November 2001.
CT	HUSKY Program	Part A
CT	HUSKY Program	Part A	NA	Yes	NA	Yes	--
CT	HUSKY Program	Part A	0
CT	HUSKY Program	Part A	1
CT	HUSKY Program	Part B
CT	HUSKY Program	Part B	NA	Yes	No	Yes	NR
CT	HUSKY Program	Part B	1
CT	HUSKY Program	HUSKY Plus Plan for Children with Special Physical Health Needs	NA	Yes	No	Yes	NR
CT	HUSKY Program	HUSKY Plus Plan for Children with Special Physical Health Needs	1
CT	HUSKY Program	HUSKY Plus Behavioral Health Plan	NA	Yes	No	Yes	NR
CT	HUSKY Program	HUSKY Plus Behavioral Health Plan	1
DC	DC Healthy Kids		NA	--	--	--	--
DE	Delaware Healthy Children`s Program		NA	Yes	Yes	No	NR
DE	Delaware Healthy Children`s Program		1
FL	FL KidCare	Medicaid expansion
FL	FL KidCare	Medicaid expansion	NA	--	No	Yes	--
FL	FL KidCare	Medicaid expansion	1
FL	FL KidCare	Healthy Kids
FL	FL KidCare	Healthy Kids	NA	NR	No	Yes	NR
FL	FL KidCare	Healthy Kids	1	Yes
FL	FL KidCare	Healthy Kids	3		No	Yes
FL	FL KidCare	Healthy Kids	4
FL	FL KidCare	Medi-Kids	1	Yes	No	Yes	NR
FL	FL KidCare	Medi-Kids	4
FL	FL KidCare	CMS	1	Yes	No	Yes	NR
FL	FL KidCare	CMS	4
GA	Peach Care for Kids		NA	Yes	No	Yes	Yes	Two state Medicaid eligibility workers are placed at the Third Party Administrator's site to streamline the application process.
GA	Peach Care for Kids		0
GA	Peach Care for Kids		1
GU	Guam SCHIP		NA	--	NA	--	--
HI	HI SCHIP	Phase I	NA	--	--	--	--
HI	HI SCHIP	Phase I	1
IA	Hawk-I	Medicaid Expansion	NA	--	--	--	--
IA	Hawk-I	Medicaid Expansion	4
IA	Hawk-I	Separate State Program	1	NR	No	Yes	NR
IA	Hawk-I	Separate State Program	2
IA	Hawk-I	Separate State Program	3
IA	Hawk-I	Separate State Program	4
ID	ID SCHIP		NA	--	--	--	--
ID	ID SCHIP		1
ID	ID SCHIP		2
IL	Kidcare	Phase 1	NA	--	--	--	--
IL	Kidcare	Phase 2	1	Yes	Yes	No	Yes	If a child enrolled in Phase 2 becomes pregnant, she is terminated from the plan and enrolled in Medicaid (KidCare Moms and Babies).
IN	Hoosier Healthwise	Phase 1	NA	--	--	--	--
IN	Hoosier Healthwise	Phase 1	0
IN	Hoosier Healthwise	Phase 2	2	Yes	Yes	No	NR
KS	HealthWave		NA	Yes	No	Yes	NR
KS	HealthWave		1
KY	KCHIP	Medicaid Expansion
KY	KCHIP	Medicaid Expansion	NA	Yes	No	Yes	--
KY	KCHIP	Medicaid Expansion	1
KY	KCHIP	Insurance Product
KY	KCHIP	Insurance Product	NA	Yes	No	Yes	NR
KY	KCHIP	Insurance Product	1
KY	KCHIP	Insurance Product	2		Yes	No
LA	LaCHIP		NA	--	--	--	--
LA	LaCHIP		1
MA	MassHealth	Standard	NA	Yes	NA	No	--
MA	MassHealth	Family Assistance Direct Coverage	NA	Yes	Yes	No	NR
MA	MassHealth	Family Assistance Premium Assistance	NA	Yes	Yes	No	NR
MA	MassHealth	Common Health	NA	Yes	Yes	No	NR
MD	Maryland Children`s Health Program	Phase I	NA	--	--	--	--
MD	Maryland Children`s Health Program	Phase I	1
MD	Maryland Children`s Health Program	Phase II	2	Yes	Yes	No	NR
MD	Maryland Children`s Health Program	Phase II- ESI	2	Yes	Yes	No	NR
ME	ME CHIP Medicaid Expansion		NA	Yes	NA	No	--
ME	Cubcare		NA	Yes	Yes	No	NR
ME	Cubcare		1
MI	MI SCHIP	MI CHILD	NA	Yes	No	Yes	NR
MI	MI SCHIP	MI CHILD	1
MI	MI SCHIP	MI CHILD	2
MI	MI SCHIP	Medicaid Expansion	1	Yes	NA	Yes	--
MI	MI SCHIP	Medicaid Expansion	2
MN	Minnesota Medical Assistance Program		NA	--	--	--	--
MO	MC+ for Kids		NA	NA	NA	--	NA
MO	MC+ for Kids		1
MP	CNMI SCHIP		NA	NA	NA	NA	NA
MS	MS SCHIP	Phase I
MS	MS SCHIP	Phase I	NA	--	--	--	NA
MS	MS SCHIP	Phase II
MS	MS SCHIP	Phase II	1	Yes	Yes	No	NR
MS	MS SCHIP	Phase II	2
MS	MS SCHIP	Phase II	3
MS	MS SCHIP	Employer-sponsored coverage	1	Yes	Yes	No	NR
MT	MT SCHIP		NA	No	No	Yes	NR
MT	MT SCHIP		1	Yes
NC	NC SCHIP		NA	Yes	Yes	No	NR
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	--	--	--	--
ND	Healthy Steps	Phase II
ND	Healthy Steps	Phase II	1	No	NR	No	Yes	If the family appears to meet Medicaid income and asset guidelines, the application will be denied and referral will be initiated to the appropriate County Service Board Office. The family will be sent an application for Medicaid.
NE	Kid`s Connection		NA	--	--	--	--
NE	Kid`s Connection		1
NH	Healthy Kids	Gold	NA	Yes	NA	No	--
NH	Healthy Kids	Gold	1
NH	Healthy Kids	Silver	NA	Yes	Yes	No	NR
NJ	KidCare	Plan A	NA	Yes	No	No	Yes	Applications are screened against Medicaid files. Applications from children whose family members are enrolled in Medicaid are forwarded to the county for determination of Medicaid eligibility.
NJ	KidCare	Plan B	NA	Yes	No	Yes	Yes	Applications are screened against Medicaid files. Applications from children whose family members are enrolled in Medicaid are forwarded to the county for determination of Medicaid eligibility.
NJ	KidCare	Plan B	1
NJ	KidCare	Plan B	3
NJ	KidCare	Plan B	4
NJ	KidCare	Plan C	NA	Yes	No	Yes	Yes	Applications are screened against Medicaid files. Applications from children whose family members are enrolled in Medicaid are forwarded to the county for determination of Medicaid eligibility.
NJ	KidCare	Plan C	1
NJ	KidCare	Plan C	3
NJ	KidCare	Plan C	4
NJ	KidCare	Plan D	2	Yes	No	Yes	Yes	Applications are screened against Medicaid files. Applications from children whose family members are enrolled in Medicaid are forwarded to the county for determination of Medicaid eligibility.
NJ	KidCare	Plan D	3
NJ	KidCare	Plan D	4
NJ	KidCare	1115 Demonstration	NA
NM	NM SCHIP		NA	--	--	--	--
NM	NM SCHIP		2
NM	NM SCHIP	1115 Demonstration	NA
NV	Nevada Check-Up		NA	No	No	Yes	Yes	Applicants are referred to Medicaid.
NV	Nevada Check-Up		1
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS	NA	No	No	No	Yes	Insurers compile and send to state workers a list of applicants who appear to be Medicaid-eligible.
NY	NY SCHIP	CHPLUS	2	Yes
NY	NY SCHIP	Medicaid Expansion	2	Yes	NA	No	Yes	Insurers compile and send to state workers a list of applicants who appear to be Medicaid-eligible.
OH	OH Child Health Plan		NA	--	--	--	--
OH	OH Child Health Plan		1
OK	SoonerCare		NA	--	--	--	--
OK	SoonerCare		1
OR	OR SCHIP		NA	Yes	Yes	No	Yes	Enrollees are required to notify the state if they become pregnant so that they can be covered under Medicaid.
OR	OR SCHIP		2
OR	OR SCHIP		3
PA	PA SCHIP		NA	No	No	No	Yes	Applicants who appear to be Medicaid-eligible are provided with a Medicaid application and informed of the location of the Medicaid office.
PA	PA SCHIP		1
PA	PA SCHIP		2
PA	PA SCHIP		3
PA	PA SCHIP		4
PR	PR SCHIP		NA	NA	NA	NA	NA
RI	RIte Care		NA	--	--	--	--
RI	RIte Care		1
RI	RIte Care	1115 Demonstration	NA
SC	Partners for Healthy Children		NA	--	--	--	--
SD	SD SCHIP		NA	--	--	--	--
SD	SD SCHIP		1
SD	SD SCHIP		2
SD	SD SCHIP	CHIP NM	3	Yes	Yes	No	NR
TN	Tennessee`s CHIP	Phase I	NA	--	--	--	--
TX	Texas Healthy Steps	Phase I
TX	Texas Healthy Steps	Phase I	NA	--	--	--	--
TX	Texas Healthy Steps	Phase II
TX	Texas Healthy Steps	Phase II	1	Yes	No	Yes	NR
UT	UT SCHIP		NA	Yes	Yes	No	NR
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	NA	Yes	Yes	No	NR
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	1	No	No	Yes
VA	VA SCHIP	Family Access to Medical Insurance Security Plan (FAMIS) - ESI	1	No	No	Yes	NR
VI	Virgin Island`s SCHIP		NA	NA	NA	NA	NA
VI	Virgin Island`s SCHIP		1
VT	VT SCHIP		NA	NA	Yes	No	NR
VT	VT SCHIP		1
VT	VT SCHIP		2
VT	VT SCHIP		3
WA	WA SCHIP		NA	Yes	Yes	No	NR
WA	WA SCHIP		1
WI	BadgerCare	Medicaid expansion
WI	BadgerCare	Medicaid expansion	NA	NA	--	NA	NA
WI	BadgerCare	Medicaid expansion	1
WI	BadgerCare	Employer-sponsored Coverage	1	NA	NA	NA	NA
WI	BadgerCare		NA
WV	WV SCHIP	Phase I	NA	--	--	--	--
WV	WV SCHIP	Phase I	2
WV	WV SCHIP	Phase II	1	Yes	Yes	No	NR
WV	WV SCHIP	Phase II	2
WV	WV SCHIP	Phase II	3
WY	WY SCHIP	CHIP One	NA	Yes	Yes	No	NR