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				Outreach and Enrollment
										Joint Application Forms
State	Program	Phase or Component	Amend.#	Radio, TV, and Print Media	Toll-Free Info Number	In-Person Outreach	Out- reach Broker	Enroll- ment Broker	Same Broker for Outreach/ Enrollment	Medicaid/ SCHIP	Medicaid and/or SCHIP Form Includes Other Programs	Specify Other Programs
AK	AK Denali KidCare		NA	NR	NR	Yes	Yes	NR	NR	NA	NR
AL	AL SCHIP	Phase 1
AL	AL SCHIP	Phase 1	NA	Yes	Yes	Yes	NR	NR	NR	Yes	NR
AL	AL SCHIP	All Kids (Phase 2)
AL	AL SCHIP	All Kids (Phase 2)	1	Yes	Yes	Yes	NR	Yes	NR	Yes	NR
AL	AL SCHIP	All Kids (Phase 2)	2
AL	AL SCHIP	Plus (Phase 3)
AL	AL SCHIP	Plus (Phase 3)	2	Yes	Yes	Yes	NR	Yes	NR	Yes	NR
AR	AR SCHIP	Phase I - ARKids A
AR	AR SCHIP	Phase I - ARKids A	NA	Yes	Yes	Yes	Yes	NR	NR	NA	NR
AR	AR SCHIP	Phase II - ARKids B
AR	AR SCHIP	Phase II - ARKids B	1	Yes	Yes	NR	Yes	NR		Yes	NR
AS	AS SCHIP		NA	Yes	NR	NR	NR	NR		NA	NR
AZ	KidsCare		NA	Yes	Yes	Yes	NR	NR	NR	Yes	Yes	SSI; Federal Emergency Services; State Emergency Services
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	Yes	NR	NR	No	NR
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	Yes	Yes	Yes	No	NR
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	Yes	Yes	Yes	Yes	Yes	Yes	No	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	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	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	NR	NR	NR	NR
CA	Healthy Families	County Mental Health Program	2
CO	CHP+		NA	Yes	Yes	Yes	No	Yes	No	Yes	Yes	CICP, Reduced Meals Program, WIC, Commodity Supplemental Foods Program, Health Care Program for Children with Special Needs.
CO	CHP+		1
CO	CHP+		2
CT	HUSKY Program	Part A
CT	HUSKY Program	Part A	NA	Yes	Yes	NR	Yes	Yes	Yes	Yes	NR
CT	HUSKY Program	Part A	0
CT	HUSKY Program	Part A	1
CT	HUSKY Program	Part B
CT	HUSKY Program	Part B	NA	Yes	Yes	NR	Yes	Yes	Yes	Yes	NR
CT	HUSKY Program	Part B	1
CT	HUSKY Program	HUSKY Plus Plan for Children with Special Physical Health Needs	NA	Yes	Yes	NR	Yes	Yes	Yes	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	Yes	NR	Yes	Yes	Yes	Yes	NR
CT	HUSKY Program	HUSKY Plus Behavioral Health Plan	1
DC	DC Healthy Kids		NA	Yes	NR	Yes	Yes	Yes	No	NA	Yes	Head Start
DE	Delaware Healthy Children`s Program		NA	Yes	NR	Yes	NR	Yes	NR	Yes	NR
DE	Delaware Healthy Children`s Program		1
FL	FL KidCare	Medicaid expansion
FL	FL KidCare	Medicaid expansion	NA	Yes	Yes	Yes	NR	NR	NR	NA	NR
FL	FL KidCare	Medicaid expansion	1				No	No
FL	FL KidCare	Healthy Kids
FL	FL KidCare	Healthy Kids	NA	Yes	Yes	Yes	No	NR	NA	NR	NR
FL	FL KidCare	Healthy Kids	1							Yes
FL	FL KidCare	Healthy Kids	3					Yes	No
FL	FL KidCare	Healthy Kids	4
FL	FL KidCare	Medi-Kids	1	Yes	Yes	Yes	No	No	NA	Yes	NR
FL	FL KidCare	Medi-Kids	4
FL	FL KidCare	CMS	1	Yes	Yes	Yes	No	No	NA	Yes	NR
FL	FL KidCare	CMS	4
GA	Peach Care for Kids		NA	Yes	Yes	Yes	Yes	Yes	No	Yes	NR
GA	Peach Care for Kids		0
GA	Peach Care for Kids		1
GU	Guam SCHIP		NA	Yes	Yes	Yes	NR	NR	NR	NA	Yes	A generic application allows eligibility determinations for all programs within the Division of Public Welfare.
HI	HI SCHIP	Phase I	NA	Yes	Yes	Yes	NR	NR	NR	NA	NR
HI	HI SCHIP	Phase I	1
IA	Hawk-I	Medicaid Expansion	NA	Yes	Yes	Yes	Yes	NR	NR	NA	NR
IA	Hawk-I	Medicaid Expansion	4
IA	Hawk-I	Separate State Program	1	Yes	NR	Yes	NR	Yes	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	NR	Yes	NR	NR	NR	NA	Yes	The application completed for SCHIP is the same application used for all public assistance programs in ID.
ID	ID SCHIP		1
ID	ID SCHIP		2		Yes		Yes
IL	Kidcare	Phase 1	NA	Yes	NR	NR	NR	NR	NR	NA	NR
IL	Kidcare	Phase 2	1	Yes	Yes	Yes	Yes	No	No	Yes	Yes	KidCare Rebate
IN	Hoosier Healthwise	Phase 1	NA	Yes	Yes	Yes	NR	NR	NR	NA	No
IN	Hoosier Healthwise	Phase 1	0
IN	Hoosier Healthwise	Phase 2	2	Yes	NR	NR	NR	NR	NR	Yes	NR
KS	HealthWave		NA	Yes	Yes	NR	Yes	Yes	Yes	Yes	NR
KS	HealthWave		1
KY	KCHIP	Medicaid Expansion
KY	KCHIP	Medicaid Expansion	NA	Yes	Yes	Yes	Yes	NR	NR	Yes	NR
KY	KCHIP	Medicaid Expansion	1
KY	KCHIP	Insurance Product
KY	KCHIP	Insurance Product	NA	Yes	Yes	Yes	Yes	NR	NR	Yes	NR
KY	KCHIP	Insurance Product	1
KY	KCHIP	Insurance Product	2
LA	LaCHIP		NA	Yes	Yes	Yes	Yes	NR	NR	NA	NR
LA	LaCHIP		1
MA	MassHealth	Standard	NA	Yes	Yes	Yes	NR	Yes	NR	Yes	NR
MA	MassHealth	Family Assistance Direct Coverage	NA	Yes	Yes	Yes	NR	Yes	NR	Yes	NR
MA	MassHealth	Family Assistance Premium Assistance	NA	Yes	Yes	Yes	NR	Yes	NR	Yes	NR
MA	MassHealth	Common Health	NA	Yes	Yes	Yes	NR	Yes	NR	Yes	NR
MD	Maryland Children`s Health Program	Phase I	NA	Yes	Yes	Yes	NR	Yes	NR	NA	NR
MD	Maryland Children`s Health Program	Phase I	1
MD	Maryland Children`s Health Program	Phase II	2	Yes	NR	Yes	NR	Yes		Yes	Yes	Children's Medical Services -- Title V
MD	Maryland Children`s Health Program	Phase II- ESI	2	Yes	NR	Yes	NR	Yes		Yes	Yes	Children's Medical Services -- Title V
ME	ME CHIP Medicaid Expansion		NA	Yes	NR	Yes	NR	NR	NR	Yes	NR
ME	Cubcare		NA	Yes	NR	Yes	NR	NR	NR	Yes	NR
ME	Cubcare		1
MI	MI SCHIP	MI CHILD	NA	Yes	Yes	NR	Yes	Yes	NR	Yes	NR
MI	MI SCHIP	MI CHILD	1
MI	MI SCHIP	MI CHILD	2
MI	MI SCHIP	Medicaid Expansion	1	NR	NR	NR	NR	NR	NR	Yes	NR
MI	MI SCHIP	Medicaid Expansion	2
MN	Minnesota Medical Assistance Program		NA	Yes	Yes	Yes	NR	NR	NR	NA	NR
MO	MC+ for Kids		NA	Yes	Yes	Yes	NR	Yes	NR	NA	NR
MO	MC+ for Kids		1
MP	CNMI SCHIP		NA	Yes	NR	NR	NR	NR	NR	NA	NR
MS	MS SCHIP	Phase I
MS	MS SCHIP	Phase I	NA	Yes	NR	Yes	NR	NR	NR	NA	NR
MS	MS SCHIP	Phase II
MS	MS SCHIP	Phase II	1	Yes	NR	Yes	NR	NR		Yes	No
MS	MS SCHIP	Phase II	2				Yes
MS	MS SCHIP	Phase II	3
MS	MS SCHIP	Employer-sponsored coverage	1	Yes	NR	Yes	NR	NR		Yes	No
MT	MT SCHIP		NA	Yes	Yes	Yes	NR	No	NR	No	No
MT	MT SCHIP		1							Yes	Yes	Special Health Services, The Mental Health Services Plan, and Caring Program
NC	NC SCHIP		NA	Yes	Yes	Yes	NR	NR	NR	Yes	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	Yes	NR	NR	NR	NA	NR
ND	Healthy Steps	Phase II
ND	Healthy Steps	Phase II	1	Yes	Yes	Yes	NR	NR		No	No
NE	Kid`s Connection		NA	Yes	Yes	Yes	NR	NR	NR	NA	NR
NE	Kid`s Connection		1
NH	Healthy Kids	Gold	NA	Yes	Yes	Yes	NR	NR	NR	Yes	NR
NH	Healthy Kids	Gold	1
NH	Healthy Kids	Silver	NA	Yes	Yes	Yes	Yes	Yes	Yes	Yes	NR
NJ	KidCare	Plan A	NA	Yes	Yes	Yes	NR	Yes	NR	Yes	NR
NJ	KidCare	Plan B	NA	Yes	Yes	Yes	NR	Yes	NR	Yes	NR
NJ	KidCare	Plan B	1
NJ	KidCare	Plan B	3
NJ	KidCare	Plan B	4
NJ	KidCare	Plan C	NA	Yes	Yes	Yes	NR	Yes	NR	Yes	NR
NJ	KidCare	Plan C	1
NJ	KidCare	Plan C	3
NJ	KidCare	Plan C	4
NJ	KidCare	Plan D	2	Yes	Yes	Yes	NR	Yes	NR	Yes	NR
NJ	KidCare	Plan D	3
NJ	KidCare	Plan D	4
NJ	KidCare	1115 Demonstration	NA
NM	NM SCHIP		NA	Yes	Yes	Yes	Yes	NR	NR	NA	Yes	Food Stamps, TANF
NM	NM SCHIP		2
NM	NM SCHIP	1115 Demonstration	NA
NV	Nevada Check-Up		NA	Yes	Yes	Yes	NR	NR	NR	No	No
NV	Nevada Check-Up		1
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS	NA	Yes	Yes	NR	Yes	Yes	Yes	No	Yes	WIC
NY	NY SCHIP	CHPLUS	2			Yes				Yes
NY	NY SCHIP	Medicaid Expansion	2	Yes	NR	Yes	Yes	NR	NR	Yes	Yes	WIC
OH	OH Child Health Plan		NA	Yes	Yes	NR	NR	NR	NR	NA	Yes	Ohio Healthy Start, WIC, Bureau for Children with Mental Handicaps.
OH	OH Child Health Plan		1								Yes	WIC, and Bureau for Children with Medical Handicaps' programs.
OK	SoonerCare		NA	Yes	Yes	NR	Yes	Yes	NR	NA	Yes	AFDC and AFDC-related programs
OK	SoonerCare		1
OR	OR SCHIP		NA	NR	Yes	Yes	NR	NR	NR	Yes	Yes	FHIAP
OR	OR SCHIP		2
OR	OR SCHIP		3
PA	PA SCHIP		NA	NR	Yes	Yes	Yes	Yes	Yes	No	NR
PA	PA SCHIP		1
PA	PA SCHIP		2
PA	PA SCHIP		3
PA	PA SCHIP		4
PR	PR SCHIP		NA	Yes	NR	Yes	NR	NR	NR	NA	NR
RI	RIte Care		NA	Yes	Yes	Yes	NR	NR	NR	NA	NR
RI	RIte Care		1
RI	RIte Care	1115 Demonstration	NA
SC	Partners for Healthy Children		NA	Yes	Yes	Yes	NR	NR	NR	NA	NR
SD	SD SCHIP		NA	NR	NR	Yes	NR	NR	NR	NA	Yes	Food Stamps, TANF
SD	SD SCHIP		1
SD	SD SCHIP		2
SD	SD SCHIP	CHIP NM	3	NR	Yes	NR	NR	NR		Yes	Yes	Food Stamps and TANF
TN	Tennessee`s CHIP	Phase I	NA	Yes	NR	Yes	Yes	NR	NR	NA	NR
TX	Texas Healthy Steps	Phase I
TX	Texas Healthy Steps	Phase I	NA	No	Yes	Yes	NR	NR	NR	NA	NR
TX	Texas Healthy Steps	Phase II
TX	Texas Healthy Steps	Phase II	1	Yes	Yes	Yes	NR	NR		Yes	NR
UT	UT SCHIP		NA	Yes	NR	NR	NR	NR	NR	Yes	NR
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	NA	Yes	Yes	Yes	NR	Yes	NR	Yes	NR
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	1							No
VA	VA SCHIP	Family Access to Medical Insurance Security Plan (FAMIS) - ESI	1	Yes	Yes	Yes	NR	Yes	NR	No	NR
VI	Virgin Island`s SCHIP		NA	Yes	NR	Yes	NR	NR	NR	NA	Yes	WIC, MCH
VI	Virgin Island`s SCHIP		1
VT	VT SCHIP		NA	Yes	Yes	Yes	NR	NR	NR	NA	NR
VT	VT SCHIP		1
VT	VT SCHIP		2
VT	VT SCHIP		3
WA	WA SCHIP		NA	NR	NR	Yes	Yes	NR	NR	Yes	Yes	Cash benefits and Food Stamps.
WA	WA SCHIP		1
WI	BadgerCare	Medicaid expansion
WI	BadgerCare	Medicaid expansion	NA	Yes	Yes	Yes	Yes	Yes	Yes	NA	Yes	Food Stamps, W-2, Child Care Program
WI	BadgerCare	Medicaid expansion	1
WI	BadgerCare	Employer-sponsored Coverage	1	Yes	Yes	Yes	Yes	Yes	Yes	NA	Yes	Food Stamps, W-2, Child Care Program
WI	BadgerCare		NA
WV	WV SCHIP	Phase I	NA	NR	Yes	Yes	NR	No	No	NA	Yes	Free or Reduced-Price Lunch and Textbook Program
WV	WV SCHIP	Phase I	2
WV	WV SCHIP	Phase II	1	Yes	Yes	Yes	NR	Yes	NR	Yes	Yes	Free or Reduced-Price Lunch and Textbook Program
WV	WV SCHIP	Phase II	2
WV	WV SCHIP	Phase II	3
WY	WY SCHIP	CHIP One	NA	Yes	Yes	Yes	NR	NR	NR	Yes	NR