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				Type of Benchmark
				Benchmark
State	Program	Phase or Component	Amend.#	Medicaid	FEHBP	State Employee Plan	HMO w/Largest Enrollment	Benchmark Equivalent	Specify Benchmark Plan	Secretary- Approved Coverage	Existing State-Based Coverage
AK	AK Denali KidCare		NA	Yes	No	No	No	No		No	No
AL	AL SCHIP	Phase 1
AL	AL SCHIP	Phase 1	NA	Yes	No	No	No	No		No	No
AL	AL SCHIP	All Kids (Phase 2)
AL	AL SCHIP	All Kids (Phase 2)	1	No	No	No	Yes	No		No	No
AL	AL SCHIP	All Kids (Phase 2)	2
AL	AL SCHIP	Plus (Phase 3)
AL	AL SCHIP	Plus (Phase 3)	2	No	No	No	Yes	No		No	No
AR	AR SCHIP	Phase I - ARKids A
AR	AR SCHIP	Phase I - ARKids A	NA	Yes	No	No	No	No		No	No
AR	AR SCHIP	Phase II - ARKids B
AR	AR SCHIP	Phase II - ARKids B	1	No	No	No	No	No		Yes	No
AS	AS SCHIP		NA	Yes	--	--	--	--		--	--
AZ	KidsCare		NA	No	No	Yes	No	No		No	Yes
AZ	KidsCare		1
AZ	KidsCare		2	No	No	No	No	No		Yes	No
AZ	KidsCare		3
AZ	KidsCare		4
CA	Healthy Families	Medi-Cal Expansion
CA	Healthy Families	Medi-Cal Expansion	NA	Yes	No	No	No	No		No	No
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	Yes	No	No		No	No
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	Yes	No	No		No	No
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
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
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
CA	Healthy Families	County Mental Health Program	2
CO	CHP+		NA	No	No	No	No	Yes	Blue Cross/BlueShield PPO; State Employee Coverage "Exclusive Path"; Kaiser Permanente Plan-F10.	No	No
CO	CHP+		1
CO	CHP+		2
CT	HUSKY Program	Part A
CT	HUSKY Program	Part A	NA	Yes	No	No	No	No		No	No
CT	HUSKY Program	Part A	0
CT	HUSKY Program	Part A	1
CT	HUSKY Program	Part B
CT	HUSKY Program	Part B	NA	No	No	Yes	No	No		No	No
CT	HUSKY Program	Part B	1
CT	HUSKY Program	HUSKY Plus Plan for Children with Special Physical Health Needs	NA	NR	NR	NR	NR	NR		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	NR	NR	NR	NR	NR		NR	NR
CT	HUSKY Program	HUSKY Plus Behavioral Health Plan	1
DC	DC Healthy Kids		NA	Yes	No	No	No	No		No	No
DE	Delaware Healthy Children`s Program		NA	No	No	Yes	No	No		No	No
DE	Delaware Healthy Children`s Program		1
FL	FL KidCare	Medicaid expansion
FL	FL KidCare	Medicaid expansion	NA	Yes	No	No	No	No		No	No
FL	FL KidCare	Medicaid expansion	1
FL	FL KidCare	Healthy Kids
FL	FL KidCare	Healthy Kids	NA	No	No	No	No	No		No	Yes
FL	FL KidCare	Healthy Kids	1
FL	FL KidCare	Healthy Kids	3
FL	FL KidCare	Healthy Kids	4
FL	FL KidCare	Medi-Kids	1	Yes	No	No	No	No		No	No
FL	FL KidCare	Medi-Kids	4
FL	FL KidCare	CMS	1	Yes	No	No	No	No		No	No
FL	FL KidCare	CMS	4
GA	Peach Care for Kids		NA	No	No	No	No	Yes	BlueChoice Health Care Plan (HMO)	No	No
GA	Peach Care for Kids		0
GA	Peach Care for Kids		1
GU	Guam SCHIP		NA	Yes	No	No	No	No		No	No
HI	HI SCHIP	Phase I	NA	Yes	No	No	No	No		No	No
HI	HI SCHIP	Phase I	1
IA	Hawk-I	Medicaid Expansion	NA	Yes	No	No	No	No		No	No
IA	Hawk-I	Medicaid Expansion	4
IA	Hawk-I	Separate State Program	1	No	No	Yes	No	Yes	Iowa Health Solutions and Wellmark Blue Cross Blue Shield of Iowa	No	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	No	No	No	No		No	No
ID	ID SCHIP		1
ID	ID SCHIP		2
IL	Kidcare	Phase 1	NA	Yes	No	No	No	No		No	No
IL	Kidcare	Phase 2	1	No	No	No	No	Yes	Quality Care Health Plan, available to state employees.	No	No
IN	Hoosier Healthwise	Phase 1	NA	Yes	No	No	No	No		No	No
IN	Hoosier Healthwise	Phase 1	0
IN	Hoosier Healthwise	Phase 2	2	No	No	No	No	Yes	Missing/Not Specified	No	No
KS	HealthWave		NA	No	No	Yes	No	No		No	No
KS	HealthWave		1
KY	KCHIP	Medicaid Expansion
KY	KCHIP	Medicaid Expansion	NA	Yes	No	No	No	No		No	No
KY	KCHIP	Medicaid Expansion	1
KY	KCHIP	Insurance Product
KY	KCHIP	Insurance Product	NA	No	No	No	No	Yes	KY State employee HMO, Standard High HMO.	No	No
KY	KCHIP	Insurance Product	1
KY	KCHIP	Insurance Product	2
LA	LaCHIP		NA	Yes	No	No	No	No		No	No
LA	LaCHIP		1
MA	MassHealth	Standard	NA	Yes	No	No	No	No		No	No
MA	MassHealth	Family Assistance Direct Coverage	NA	No	No	No	Yes	No		No	No
MA	MassHealth	Family Assistance Premium Assistance	NA	No	No	No	Yes	No		No	No
MA	MassHealth	Common Health	NA	No	No	No	Yes	No		No	No
MD	Maryland Children`s Health Program	Phase I	NA	Yes	No	No	No	No		No	No
MD	Maryland Children`s Health Program	Phase I	1
MD	Maryland Children`s Health Program	Phase II	2	No	No	No	Yes	No		No	No
MD	Maryland Children`s Health Program	Phase II- ESI	2	No	No	No	No	Yes	The state will ensure that all plans approved as benchmark-equivalent coverage include the basic services and actuarial equivalence.	No	No
ME	ME CHIP Medicaid Expansion		NA	Yes	No	No	No	No		No	No
ME	Cubcare		NA	No	No	No	No	No		Yes	No
ME	Cubcare		1
MI	MI SCHIP	MI CHILD	NA	No	No	Yes	No	No		No	No
MI	MI SCHIP	MI CHILD	1
MI	MI SCHIP	MI CHILD	2
MI	MI SCHIP	Medicaid Expansion	1	Yes	No	No	No	No		No	No
MI	MI SCHIP	Medicaid Expansion	2
MN	Minnesota Medical Assistance Program		NA	Yes	No	No	No	No		No	No
MO	MC+ for Kids		NA	Yes	No	No	No	No		No	No
MO	MC+ for Kids		1
MP	CNMI SCHIP		NA	Yes	No	No	No	No		No	No
MS	MS SCHIP	Phase I
MS	MS SCHIP	Phase I	NA	Yes	No	No	No	No		No	No
MS	MS SCHIP	Phase II
MS	MS SCHIP	Phase II	1			Yes
MS	MS SCHIP	Phase II	2
MS	MS SCHIP	Phase II	3
MS	MS SCHIP	Employer-sponsored coverage	1	No	No	Yes	No	No		No	No
MT	MT SCHIP		NA	No	No	No	No	Yes	Basic plan for state employees	No	No
MT	MT SCHIP		1
NC	NC SCHIP		NA	No	No	Yes	No	No		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	Yes	No	No	No	No		No	No
ND	Healthy Steps	Phase II
ND	Healthy Steps	Phase II	1					Yes	Public Employees Retirement System Health Care Plan
NE	Kid`s Connection		NA	Yes	No	No	No	No		No	No
NE	Kid`s Connection		1
NH	Healthy Kids	Gold	NA	Yes	No	No	No	No		No	No
NH	Healthy Kids	Gold	1
NH	Healthy Kids	Silver	NA	No	Yes	No	No	No		No	No
NJ	KidCare	Plan A	NA	Yes	No	No	No	No		No	No
NJ	KidCare	Plan B	NA	No	Yes	No	No	No		No	No
NJ	KidCare	Plan B	1
NJ	KidCare	Plan B	3
NJ	KidCare	Plan B	4
NJ	KidCare	Plan C	NA	No	Yes	No	No	No		No	No
NJ	KidCare	Plan C	1
NJ	KidCare	Plan C	3
NJ	KidCare	Plan C	4
NJ	KidCare	Plan D	2	No	No	No	Yes	No		No	No
NJ	KidCare	Plan D	3
NJ	KidCare	Plan D	4
NJ	KidCare	1115 Demonstration	NA
NM	NM SCHIP		NA	Yes	No	No	No	No		No	No
NM	NM SCHIP		2
NM	NM SCHIP	1115 Demonstration	NA
NV	Nevada Check-Up		NA	No	No	No	No	No		Yes	No
NV	Nevada Check-Up		1
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS
NY	NY SCHIP	CHPLUS	NA	No	No	No	No	No		No	Yes
NY	NY SCHIP	CHPLUS	2
NY	NY SCHIP	Medicaid Expansion	2	Yes	No	No	No	No		No	No
OH	OH Child Health Plan		NA	Yes	No	No	No	No		No	No
OH	OH Child Health Plan		1
OK	SoonerCare		NA	Yes	No	No	No	No		No	No
OK	SoonerCare		1
OR	OR SCHIP		NA	No	No	No	No	No		Yes	No
OR	OR SCHIP		2
OR	OR SCHIP		3
PA	PA SCHIP		NA	No	No	No	No	No		No	Yes
PA	PA SCHIP		1
PA	PA SCHIP		2
PA	PA SCHIP		3
PA	PA SCHIP		4
PR	PR SCHIP		NA	Yes	No	No	No	No		No	No
RI	RIte Care		NA	Yes	No	No	No	No		No	No
RI	RIte Care		1
RI	RIte Care	1115 Demonstration	NA
SC	Partners for Healthy Children		NA	Yes	No	No	No	No		No	No
SD	SD SCHIP		NA	Yes	No	No	No	No		No	No
SD	SD SCHIP		1
SD	SD SCHIP		2
SD	SD SCHIP	CHIP NM	3	Yes	No	No	No	No		No	No
TN	Tennessee`s CHIP	Phase I	NA	Yes	No	No	No	No		No	No
TX	Texas Healthy Steps	Phase I
TX	Texas Healthy Steps	Phase I	NA	Yes	No	No	No	No		No	No
TX	Texas Healthy Steps	Phase II
TX	Texas Healthy Steps	Phase II	1			Yes
UT	UT SCHIP		NA	No	No	No	No	Yes	Public Employees Health Plan, Preferred Medical Care	No	No
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	NA	No	No	No	No	No		Yes	No
VA	VA SCHIP	Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan	1					Yes	Key Advantage Plan, state employees' PPO option	No
VA	VA SCHIP	Family Access to Medical Insurance Security Plan (FAMIS) - ESI	1	No	No	No	No	Yes	Key Advantage Plan, state employees' PPO option	No	No
VI	Virgin Island`s SCHIP		NA	Yes	No	No	No	No		No	No
VI	Virgin Island`s SCHIP		1
VT	VT SCHIP		NA	No	No	No	No	No		Yes	No
VT	VT SCHIP		1
VT	VT SCHIP		2
VT	VT SCHIP		3
WA	WA SCHIP		NA	Yes	No	No	No	No		No	No
WA	WA SCHIP		1
WI	BadgerCare	Medicaid expansion
WI	BadgerCare	Medicaid expansion	NA	Yes	No	No	No	No		No	No
WI	BadgerCare	Medicaid expansion	1
WI	BadgerCare	Employer-sponsored Coverage	1	No	No	No	No	No		No	No
WI	BadgerCare		NA
WV	WV SCHIP	Phase I	NA	Yes	No	No	No	No		No	No
WV	WV SCHIP	Phase I	2
WV	WV SCHIP	Phase II	1	No	No	No	No	Yes	Public Employees Insurance Agency Preferred Provider Benefit Plan, the state employee benefit plan	No	No
WV	WV SCHIP	Phase II	2
WV	WV SCHIP	Phase II	3
WY	WY SCHIP	CHIP One	NA	No	No	No	No	No		Yes	No