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
				Provision of Assistance to Indians
State	Program	Phase or Component	Amend.#	Targeted Outreach	Special Providers (e.g., IHS)	Other Provisions	Specify Other Provisions
AK	AK Denali KidCare		NA	Yes	--	Yes	A task force has been developed to target Native Americans for enrollment.
AL	AL SCHIP	Phase 1
AL	AL SCHIP	Phase 1	NA	--	--	--
AL	AL SCHIP	All Kids (Phase 2)
AL	AL SCHIP	All Kids (Phase 2)	1	NR	NR	Yes	The state assures the provision of services to Indians.
AL	AL SCHIP	All Kids (Phase 2)	2
AL	AL SCHIP	Plus (Phase 3)
AL	AL SCHIP	Plus (Phase 3)	2	NR	No	Yes	The state assures the provision of services to Indians. Indian representatives assisted in the development of All Kids Plus.
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	NR	NR	Yes	There are no American Indian Tribes or reservations in Arkansas. However, the American Indian Center in Little Rock will be provided with applications and pamphlets.
AS	AS SCHIP		NA	--	--	--
AZ	KidsCare		NA	Yes	Yes	Yes	Arizona Health Care Cost Containment System (state Medicaid office) has a Native American Coordinator to provide information and presentations on SCHIP; applications are available at Indian Health Service and tribal locations.
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	Yes	Yes	Yes	State provides technical assistance to track services provided to Indians. A question about American Indian ethnicity is included on the application form. State provides training for clinic staff.
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	Yes	Yes	Yes	State provides technical assistance to track services provided to Indians. A question about American Indian ethnicity is included on the application form. State provides training for clinic staff.
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	NR	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
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
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
CA	Healthy Families	County Mental Health Program	2
CO	CHP+		NA	Yes	Yes	NR
CO	CHP+		1
CO	CHP+		2
CT	HUSKY Program	Part A
CT	HUSKY Program	Part A	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	NR	NR
CT	HUSKY Program	Part B	1
CT	HUSKY Program	HUSKY Plus Plan for Children with Special Physical Health Needs	NA	Yes	NR	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	NR	NR
CT	HUSKY Program	HUSKY Plus Behavioral Health Plan	1
DC	DC Healthy Kids		NA	--	--	--
DE	Delaware Healthy Children`s Program		NA	NA	NA	NA
DE	Delaware Healthy Children`s Program		1
FL	FL KidCare	Medicaid expansion
FL	FL KidCare	Medicaid expansion	NA	--	--	Yes	Indian children attending a reservation school will receive information by the same methods as other schools.
FL	FL KidCare	Medicaid expansion	1
FL	FL KidCare	Healthy Kids
FL	FL KidCare	Healthy Kids	NA	NR	NR	Yes	Indian children attending a reservation school will receive information by the same methods as other schools.
FL	FL KidCare	Healthy Kids	1				Applications will be sent to the two Native American tribes. The Department of Health established a special population task force for Indians and other minority groups.
FL	FL KidCare	Healthy Kids	3
FL	FL KidCare	Healthy Kids	4
FL	FL KidCare	Medi-Kids	1	NR	NR	Yes	Applications will be sent to the two Native American tribes. The Department of Health established a special population task force for Indians and other minority groups.
FL	FL KidCare	Medi-Kids	4
FL	FL KidCare	CMS	1	NR	NR	Yes	Applicants will be sent to the two Native American tribes. The Department of Health established a special population task force for Indians and other minority groups.
FL	FL KidCare	CMS	4
GA	Peach Care for Kids		NA	NA	NA	NA
GA	Peach Care for Kids		0
GA	Peach Care for Kids		1
GU	Guam SCHIP		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	NR	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	--	--	Yes	Medicaid administrator meets with Tribal leaders each quarter to discuss the Medical Assistance Program and has kept the tribes apprised of the SCHIP program.
ID	ID SCHIP		1
ID	ID SCHIP		2		Yes	Yes	The state has quarterly meetings with Tribes and CHIP has been a continuing agenda item. The state's outreach coordinator will be visiting each of the Tribes to develop targeted outreach initiatives. Some tribe members will serve as outreach workers
IL	Kidcare	Phase 1	NA	--	--	--
IL	Kidcare	Phase 2	1	No	No	Yes	Only one Indian health care facility operates in Illinois. The department has contacted the facility concerning outreach and enrollment strategies that are appropriate for reaching American Indian children.
IN	Hoosier Healthwise	Phase 1	NA	Yes	--	--
IN	Hoosier Healthwise	Phase 1	0
IN	Hoosier Healthwise	Phase 2	2	Yes	Yes	NR
KS	HealthWave		NA	Yes	NR	Yes	State conducts special tracking of American Indian enrollees, holds semi-annual meetings, and has designated a staff person to serve as Native American liason.
KS	HealthWave		1
KY	KCHIP	Medicaid Expansion
KY	KCHIP	Medicaid Expansion	NA	NA	NA	NA
KY	KCHIP	Medicaid Expansion	1
KY	KCHIP	Insurance Product
KY	KCHIP	Insurance Product	NA	NA	NA	NA
KY	KCHIP	Insurance Product	1
KY	KCHIP	Insurance Product	2
LA	LaCHIP		NA	Yes	--	--
LA	LaCHIP		1
MA	MassHealth	Standard	NA	--	--	Yes	State has a nondiscrimination policy.
MA	MassHealth	Family Assistance Direct Coverage	NA	NR	NR	Yes	State has a nondiscrimination policy.
MA	MassHealth	Family Assistance Premium Assistance	NA	NR	NR	Yes	State has a nondiscrimination policy.
MA	MassHealth	Common Health	NA	NR	NR	Yes	State has a nondiscrimination policy.
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	NR	NR	Yes	If the applicant indicates American Indian or Alaska Native status, the case will be flagged to exempt the recipient from the family contribution requirement.
MD	Maryland Children`s Health Program	Phase II- ESI	2	NR	NR	Yes	If the applicant indicates American Indian or Alaska Native status, the case will be flagged to exempt the recipient from the family contribution requirement.
ME	ME CHIP Medicaid Expansion		NA	--	--	Yes	Tribal representatives are permanent members of the Medicaid advisory committee.
ME	Cubcare		NA	NR	NR	Yes	Tribal representatives are permanent members of the Medicaid advisory committee.
ME	Cubcare		1
MI	MI SCHIP	MI CHILD	NA	Yes	Yes	NR
MI	MI SCHIP	MI CHILD	1
MI	MI SCHIP	MI CHILD	2
MI	MI SCHIP	Medicaid Expansion	1	--	--	--
MI	MI SCHIP	Medicaid Expansion	2
MN	Minnesota Medical Assistance Program		NA	--	--	--
MO	MC+ for Kids		NA	--	--	--
MO	MC+ for Kids		1
MP	CNMI SCHIP		NA	--	--	--
MS	MS SCHIP	Phase I
MS	MS SCHIP	Phase I	NA	Yes	--	Yes	Eligibility workers are outstationed.
MS	MS SCHIP	Phase II
MS	MS SCHIP	Phase II	1	Yes	NR	Yes	Indian leaders will be contacted directly to discuss an appropriate outreach stragegy.
MS	MS SCHIP	Phase II	2
MS	MS SCHIP	Phase II	3
MS	MS SCHIP	Employer-sponsored coverage	1	Yes	NR	Yes	Indian leaders will be contacted directly regarding outreach strategies.
MT	MT SCHIP		NA	Yes	Yes	NR
MT	MT SCHIP		1
NC	NC SCHIP		NA	Yes	NR	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	Yes	--	Yes	Indian Health Service facilities have a benefits coordinator and provide referrals.
ND	Healthy Steps	Phase II
ND	Healthy Steps	Phase II	1	NR	NR	Yes	The state will involve the Indian Health Service, Tribal governments, and others to help identify and enroll Native American children.
NE	Kid`s Connection		NA	--	--	--
NE	Kid`s Connection		1
NH	Healthy Kids	Gold	NA	NA	NA	NA
NH	Healthy Kids	Gold	1
NH	Healthy Kids	Silver	NA	NA	NA	NA
NJ	KidCare	Plan A	NA	NA	NA	NA
NJ	KidCare	Plan B	NA	NA	NA	NA
NJ	KidCare	Plan B	1
NJ	KidCare	Plan B	3
NJ	KidCare	Plan B	4
NJ	KidCare	Plan C	NA	NA	NA	NA
NJ	KidCare	Plan C	1
NJ	KidCare	Plan C	3
NJ	KidCare	Plan C	4
NJ	KidCare	Plan D	2	NA	NA	NA
NJ	KidCare	Plan D	3
NJ	KidCare	Plan D	4
NJ	KidCare	1115 Demonstration	NA
NM	NM SCHIP		NA	Yes	Yes	Yes	State is working with Native Americans to design and implement a Native American HMO. State allows faster presumptive eligibility determination for Indian Health Service patients.
NM	NM SCHIP		2
NM	NM SCHIP	1115 Demonstration	NA
NV	Nevada Check-Up		NA	Yes	NR	Yes	State will provide an overview of SCHIP at the inter-tribunal level.
NV	Nevada Check-Up		1
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS	NA	NR	NR	Yes	Indian Health Program deals with Native American populations. All Indian health care providers encourage enrollment in SCHIP and make referrals.
NY	NY SCHIP	CHPLUS	2
NY	NY SCHIP	Medicaid Expansion	2	--	--	--
OH	OH Child Health Plan		NA	--	--	--
OH	OH Child Health Plan		1
OK	SoonerCare		NA	Yes	Yes	--
OK	SoonerCare		1
OR	OR SCHIP		NA	Yes	NR	Yes	Tribal children are not required to enroll in managed care.
OR	OR SCHIP		2
OR	OR SCHIP		3
PA	PA SCHIP		NA	NR	NR	Yes	PA does not have a federally designated geographic concentration of Indian populations. All children, regardless of ethnic background, are treated the same with respect to the provision of child health assistance.
PA	PA SCHIP		1
PA	PA SCHIP		2
PA	PA SCHIP		3
PA	PA SCHIP		4
PR	PR SCHIP		NA	--	--	--
RI	RIte Care		NA	--	--	Yes	Members of tribes have been and will be eligible for Rite Care.
RI	RIte Care		1	Yes
RI	RIte Care	1115 Demonstration	NA
SC	Partners for Healthy Children		NA	Yes	--	Yes	Each Native American family with a child who may be eligible will be sent an application form.
SD	SD SCHIP		NA	Yes	Yes	Yes	Exchange of data.
SD	SD SCHIP		1
SD	SD SCHIP		2
SD	SD SCHIP	CHIP NM	3	Yes	Yes	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	NR	Yes	Yes	The state will contact tribes to determine how best to ensure continued participation of tribal health clinics in the care of tribal members.
UT	UT SCHIP		NA	Yes	Yes	Yes	The state is in consulation with Utah tribes to identify benefits based on culture that may be needed but are different for the general population.
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	NA
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	1
VA	VA SCHIP	Family Access to Medical Insurance Security Plan (FAMIS) - ESI	1
VI	Virgin Island`s SCHIP		NA	--	--	--
VI	Virgin Island`s SCHIP		1
VT	VT SCHIP		NA	NR	NR	NR
VT	VT SCHIP		1
VT	VT SCHIP		2
VT	VT SCHIP		3
WA	WA SCHIP		NA	Yes	Yes	Yes	Indian children are not required to enroll in managed care. Also, Indians are not subject to cost sharing requirements.
WA	WA SCHIP		1
WI	BadgerCare	Medicaid expansion
WI	BadgerCare	Medicaid expansion	NA	Yes	--	Yes	Tribal agencies will be funded to provide benefit counseling, training, technical support, and problem resolution for tribal members.
WI	BadgerCare	Medicaid expansion	1				State provides funding for one FTE for each tribal health clinic or agency to provide one-on-one counseling and outreach. State also provides grants for training, technical support, benefit counseling, and problem resolution.
WI	BadgerCare	Employer-sponsored Coverage	1	Yes	--	Yes	Funding for one FTE for each tribal health clinic or agency to provide one-on-one counseling and outreach. Also, grants for training, technical support, benefit counseling, and problem resolution.
WI	BadgerCare		NA
WV	WV SCHIP	Phase I	NA	--	--	--
WV	WV SCHIP	Phase I	2
WV	WV SCHIP	Phase II	1	Yes	NR	NR
WV	WV SCHIP	Phase II	2
WV	WV SCHIP	Phase II	3
WY	WY SCHIP	CHIP One	NA	Yes	Yes	Yes	State has ongoing workgroups with tribes.