SCHIP Characteristics

  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.

IdentifiersBenefits
State Program Phase or Component Amend.# PT, OT, or STPTOTSTLimits on PT, OT, or STHospiceOther Medical ServicesSpecify Other Medical ServicesPremiums for Private CoverageMedical TransportationEnabling Services
AKAK Denali KidCare

NA
--
--
--
--
--
--
--
--
--
--
--
ALAL SCHIP
Phase 1












ALAL SCHIP
Phase 1
NA
--
--
--
--
--
--
--
--
--
--
--
ALAL SCHIP
All Kids (Phase 2)












ALAL SCHIP
All Kids (Phase 2)
1
Yes
NR
NR
NR
NR
No
Yes
Transplants; emergency and urgent care; skilled nursing facility services; vision services.
Yes
Yes
Yes
ALAL SCHIP
All Kids (Phase 2)
2











ALAL SCHIP
Plus (Phase 3)












ALAL SCHIP
Plus (Phase 3)
2
NR
NR
NR
NR
NR
NR
Yes
Transplants, emergency and urgent care; skilled nursing facility services; vision services; services for intake and evaluation, screening, and assessment; adaptive living skills; counseling, testing and intervention; audiology; nutrition; mental health and substance abuse treatment; in-home and community services; transportation; special instruction; social work services; enabling services.



ARAR SCHIP
Phase I - ARKids A












ARAR SCHIP
Phase I - ARKids A
NA
--
--
--
--
--
--
--
--
--
--
--
ARAR SCHIP
Phase II - ARKids B












ARAR SCHIP
Phase II - ARKids B
1
Yes
Yes
Yes
Yes
Yes
Yes
No

No
Yes
No
ASAS SCHIP

NA
--
--
--
--
--
--
--
--
--
--
--
AZKidsCare

NA
Yes
NR
NR
NR
Yes
Yes
Yes
Services provided in a facility or home if recognized by state law; respiratory therapy; one vision exam yearly and one pair of eyeglasses yearly; immunizations; preventive health services; patient education; clinical screening tests; periodic health exams; nursing facility services; total parental nutrition; podiatry; respiratory therapist; cert. nurse anesthetist; physician's assistant; nonphysician behavioral health professional - 30 days of inpatient behavioral health and 30 visits outpatient behavioral health; home health services.
No
Yes
Yes
AZKidsCare

1











AZKidsCare

2











AZKidsCare

3











AZKidsCare

4











CAHealthy Families
Medi-Cal Expansion












CAHealthy Families
Medi-Cal Expansion
NA
--
--
--
--
--
--
--
--
--
--
--
CAHealthy Families
Medi-Cal Expansion
1











CAHealthy Families
Medi-Cal Expansion
2











CAHealthy Families
Health Insurance Plan (MRMIB)












CAHealthy Families
Health Insurance Plan (MRMIB)
NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Vision; hearing; chiropractic; acupuncture; biofeedback; blood products; transplants.
NR
Yes
NR
CAHealthy Families
Health Insurance Plan (MRMIB)
2











CAHealthy Families
Health Insurance Plan (MRMIB)
3











CAHealthy Families
Health Insurance Plan (MRMIB)
4











CAHealthy Families
Health Insurance Plan (MRMIB)
5











CAHealthy Families
Access for Infants and Mothers (AIM)












CAHealthy Families
Access for Infants and Mothers (AIM)
NA
NR
NR
NR
NR
NR
NR
NR

NR
NR
NR
CAHealthy Families
Access for Infants and Mothers (AIM)
2











CAHealthy Families
Access for Infants and Mothers (AIM)
3











CAHealthy Families
Access for Infants and Mothers (AIM)
4











CAHealthy Families
Access for Infants and Mothers (AIM)
5











CAHealthy Families
Child Health and Disability Prevention Program












CAHealthy Families
Child Health and Disability Prevention Program
NA
NR
NR
NR
NR
NR
NR
NR

NR
NR
NR
CAHealthy Families
Child Health and Disability Prevention Program
2











CAHealthy Families
Child Health and Disability Prevention Program
3











CAHealthy Families
California Children`s Services












CAHealthy Families
California Children`s Services
NA
NR
NR
NR
NR
NR
NR
NR

NR
NR
NR
CAHealthy Families
California Children`s Services
2











CAHealthy Families
County Mental Health Program












CAHealthy Families
County Mental Health Program
NA
NR
NR
NR
NR
NR
NR
NR

NR
NR
NR
CAHealthy Families
County Mental Health Program
2











COCHP+

NA
Yes
NR
NR
NR
Yes
Yes
Yes
Treatment for neurobiologically-based mental illness; organ transplant; vision services; audiological services; intractable pain treatment; autism treatment; skilled nursing; diagnosis for referral for drug and alcohol services.
No
Yes
No
COCHP+

1











COCHP+

2











CTHUSKY Program
Part A












CTHUSKY Program
Part A
NA
--
--
--
--
--
--
--
--
--
--
--
CTHUSKY Program
Part A
0











CTHUSKY Program
Part A
1











CTHUSKY Program
Part B












CTHUSKY Program
Part B
NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Services of nurse midwives, nurse practitioners, podiatrists, chiropractors and naturopaths.
No
Yes
Yes
CTHUSKY Program
Part B
1











CTHUSKY Program
HUSKY Plus Plan for Children with Special Physical Health Needs
NA
NR
NR
NR
NR
NR
NR
NR

NR
NR
NR
CTHUSKY Program
HUSKY Plus Plan for Children with Special Physical Health Needs
1











CTHUSKY Program
HUSKY Plus Behavioral Health Plan
NA
NR
NR
NR
NR
NR
NR
NR

NR
NR
NR
CTHUSKY Program
HUSKY Plus Behavioral Health Plan
1











DCDC Healthy Kids

NA
--
--
--
--
--
--
--
--
--
--
--
DEDelaware Healthy Children`s Program

NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Allergy testing.
No
Yes
No
DEDelaware Healthy Children`s Program

1











FLFL KidCare
Medicaid expansion












FLFL KidCare
Medicaid expansion
NA
--
--
--
--
--
--
--
--
--
--
--
FLFL KidCare
Medicaid expansion
1











FLFL KidCare
Healthy Kids












FLFL KidCare
Healthy Kids
NA
Yes
Yes
Yes
Yes
Yes
Yes
No

No
Yes
No
FLFL KidCare
Healthy Kids
1











FLFL KidCare
Healthy Kids
3











FLFL KidCare
Healthy Kids
4











FLFL KidCare
Medi-Kids
1











FLFL KidCare
Medi-Kids
4











FLFL KidCare
CMS
1











FLFL KidCare
CMS
4











GAPeach Care for Kids

NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
"Health Check" (preventive screenings); vision; children's intervention services; pregnancy-related services; podiatry; physician's assistant services; end-stage renal disease.
No
Yes
No
GAPeach Care for Kids

0











GAPeach Care for Kids

1











GUGuam SCHIP

NA
--
--
--
--
--
--
--
--
--
--
--
HIHI SCHIP
Phase I
NA
--
--
--
--
--
--
--
--
--
--
--
HIHI SCHIP
Phase I
1











IAHawk-I
Medicaid Expansion
NA
--
--
--
--
--
--
--
--
--
--
--
IAHawk-I
Medicaid Expansion
4











IAHawk-I
Separate State Program
1
Yes
NR
NR
NR
NR
Yes
Yes
Hearing aids and exams, vision exams and corrective lenses
No
Yes
No
IAHawk-I
Separate State Program
2











IAHawk-I
Separate State Program
3











IAHawk-I
Separate State Program
4











IDID SCHIP

NA
--
--
--
--
--
--
--
--
--
--
--
IDID SCHIP

1











IDID SCHIP

2











ILKidcare
Phase 1
NA
--
--
--
--
--
--
--
--
--
--
--
ILKidcare
Phase 2
1
Yes
NR
NR
NR
NR
Yes
Yes
Home health care services, audiology services, optometric services, family planning services, EPSDT services, services of intermediate care facilities for the mentally retarded, skilled pediatric nursing facility services, and early intervention services for children wo meet eligibility requirements established in the State's approved plan pursuant to Part C of the Individuals with Disabilities Education Act.
No
Yes
Yes
INHoosier Healthwise
Phase 1
NA
--
--
--
--
--
--
--
--
--
--
--
INHoosier Healthwise
Phase 1
0











INHoosier Healthwise
Phase 2
2
Yes
NR
NR
NR
NR
Yes
Yes

No
Yes
No
KSHealthWave

NA
Yes
NR
NR
NR
NR
Yes
Yes
Infertility; vision; prosthetics; breast reconstruction; transplants; nutritional evaluation.
No
Yes
Yes
KSHealthWave

1











KYKCHIP
Medicaid Expansion












KYKCHIP
Medicaid Expansion
NA
--
--
--
--
--
--
--
--
--
--
--
KYKCHIP
Medicaid Expansion
1











KYKCHIP
Insurance Product












KYKCHIP
Insurance Product
NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Vaccinations; organ transplants; vision; audiological services; skilled nursing; end-stage renal dialysis; home visitation program for at-risk families.
No
No
Yes
KYKCHIP
Insurance Product
1











KYKCHIP
Insurance Product
2






No


No
Yes
LALaCHIP

NA
--
--
--
--
--
--
--
--
--
--
--
LALaCHIP

1











MAMassHealth
Standard
NA
Yes
NR
NR
NR
NR
Yes
Yes
Inpatient and outpatient rehabilitative and chronic disease hospital services; early intervention services; oxygen and respiratory therapy services; podiatry services; and vision care services.
Yes
Yes
--
MAMassHealth
Family Assistance Direct Coverage
NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Inpatient and outpatient rehabilitative and chronic disease hospital services limited to 100 days; early intervention services; oxygen and respiratory therapy services; podiatry services; and vision care services.
No
Yes
No
MAMassHealth
Family Assistance Premium Assistance
NA
NR
NR
NR
NR
NR
NR
NR

Yes
NR
NR
MAMassHealth
Common Health
NA
Yes
NR
NR
NR
NR
Yes
Yes
Inpatient and outpatient rehabilitative and chronic disease hospital services limited to 100 days; early intervention services; oxygen and respiratory therapy services; podiatry services; and vision care services.
Yes
Yes
Yes
MDMaryland Children`s Health Program
Phase I
NA
--
--
--
--
--
--
--
--
--
--
--
MDMaryland Children`s Health Program
Phase I
1











MDMaryland Children`s Health Program
Phase II
2
Yes
Yes
Yes
Yes
NR
Yes
Yes
EPSDT services.
Yes
Yes
Yes
MDMaryland Children`s Health Program
Phase II- ESI
2
Yes
Yes
Yes
Yes
NR
Yes
Yes
Not specified
Yes
Yes
No
MEME CHIP Medicaid Expansion

NA
--
--
--
--
--
--
--
--
--
--
--
MECubcare

NA
Yes
NR
NR
NR
Yes
No
Yes
Chiropractors; podiatrists; Christian Science santoria; EPSDT; private duty nursing.
No
Yes
Yes
MECubcare

1











MIMI SCHIP
MI CHILD
NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Chiropractic; acupuncture; prosthetic and orthodontic appliances; transplants; orthopedic shoe inserts; hearing; vision; weight loss.
No
Yes
No
MIMI SCHIP
MI CHILD
1











MIMI SCHIP
MI CHILD
2











MIMI SCHIP
Medicaid Expansion
1
--
--
--
--
--
--
--
--
--
--
--
MIMI SCHIP
Medicaid Expansion
2











MNMinnesota Medical Assistance Program

NA
--
--
--
--
--
--
--
--
--
--
--
MOMC+ for Kids

NA
--
--
--
--
--
--
--
--
--
--
--
MOMC+ for Kids

1











MPCNMI SCHIP

NA
--
--
--
--
--
--
--
--
--
--
--
MSMS SCHIP
Phase I












MSMS SCHIP
Phase I
NA
--
--
--
--
--
--
--
--
--
--
--
MSMS SCHIP
Phase II












MSMS SCHIP
Phase II
1
Yes
Yes
Yes
No
Yes
Yes
Yes
General anesthesia; transplants.
No
Yes
No
MSMS SCHIP
Phase II
2











MSMS SCHIP
Phase II
3











MSMS SCHIP
Employer-sponsored coverage
1











MTMT SCHIP

NA
No
No
No
No
NA
No
Yes
Vision and audiological services.
No
No
No
MTMT SCHIP

1







Vision (including eyeglasses) and audiological services.



NCNC SCHIP

NA
Yes
NR
NR
NR
Yes
Yes
Yes
Special services for children with special health care needs.
Yes
Yes
No
NCNC SCHIP

1











NCNC SCHIP

2











NCNC SCHIP

3











NCNC SCHIP

4











NCNC SCHIP

5











NDHealthy Steps
Phase I












NDHealthy Steps
Phase I
NA
--
--
--
--
--
--
--
--
--
--
--
NDHealthy Steps
Phase II












NDHealthy Steps
Phase II
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Vision services, chiropractic services, biofeedback, private duty nursing services, temporomandibular (TMJ) or craniomandibular joint treatment (CMJ)
No
Yes
No
NEKid`s Connection

NA
--
--
--
--
--
--
--
--
--
--
--
NEKid`s Connection

1











NHHealthy Kids
Gold
NA
--
--
--
--
--
--
--
--
--
--
--
NHHealthy Kids
Gold
1











NHHealthy Kids
Silver
NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Chiropractic; skilled nursing rehabilitation facility services.
No
Yes
Yes
NJKidCare
Plan A
NA
--
--
--
--
--
--
--
--
--
--
--
NJKidCare
Plan B
NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Special hospitals; ER; podiatry; optometry; chiropractic spinal manipulation; home dialysis; nurse midwife; nurse practitioner; EPSDT screens; audiology; organ transplants.
NR
Yes
NR
NJKidCare
Plan B
1











NJKidCare
Plan B
3











NJKidCare
Plan B
4











NJKidCare
Plan C
NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Special hospitals; ER; podiatry; optometry; chiropractic spinal manipulation; home dialysis; nurse midwife; nurse practitioner; EPSDT screens; audiology; organ transplants.
NR
Yes
NR
NJKidCare
Plan C
1











NJKidCare
Plan C
3











NJKidCare
Plan C
4











NJKidCare
Plan D
2
Yes
Yes
Yes
Yes
Yes
Yes
Yes
SNF services (with preauthorization); ER; podiatry; optometry; home dialysis; diabetic supplies and equipment; nurse midwife; nurse practitioner; organ transplants.
NR
Yes
NR
NJKidCare
Plan D
3











NJKidCare
Plan D
4











NJKidCare
1115 Demonstration
NA











NMNM SCHIP

NA
--
--
--
--
--
--
--
--
--
--
--
NMNM SCHIP

2











NMNM SCHIP
1115 Demonstration
NA











NVNevada Check-Up

NA
Yes
NR
NR
NR
Yes
Yes
Yes
Vision screening and glasses.
No
Yes
No
NVNevada Check-Up

1











NYNY SCHIP
CHPLUS












NYNY SCHIP
CHPLUS












NYNY SCHIP
CHPLUS
NA
No
No
No
No
NA
No
Yes
Theraputic.
No
No
No
NYNY SCHIP
CHPLUS
2
Yes
NR
NR
Yes
Yes






NYNY SCHIP
Medicaid Expansion
2
--
--
--
--
--
--
--
--
--
--
--
OHOH Child Health Plan

NA
--
--
--
--
--
--
--
--
--
--
--
OHOH Child Health Plan

1











OKSoonerCare

NA
--
--
--
--
--
--
--
--
--
--
--
OKSoonerCare

1











OROR SCHIP

NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Services medically necessary for the treatment of a health condition and treatment pairs listed on the OR Health plan prioritized list and funded by the state.
No
Yes
Yes
OROR SCHIP

2











OROR SCHIP

3











PAPA SCHIP

NA
Yes
NR
NR
NR
NR
Yes
No

No
Yes
No
PAPA SCHIP

1











PAPA SCHIP

2











PAPA SCHIP

3






Yes
Rehabilitative services.



PAPA SCHIP

4











PRPR SCHIP

NA
--
--
--
--
--
--
--
--
--
--
--
RIRIte Care

NA
--
--
--
--
--
--
--
--
--
--
--
RIRIte Care

1











RIRIte Care
1115 Demonstration
NA











SCPartners for Healthy Children

NA
--
--
--
--
--
--
--
--
--
--
--
SDSD SCHIP

NA
--
--
--
--
--
--
--
--
--
--
--
SDSD SCHIP

1











SDSD SCHIP

2











SDSD SCHIP
CHIP NM
3
Yes
Yes
Yes
Yes
No
No
Yes
Chiropractic services, vision services, podiatry services, nutritional services, nursing facility services, vaccination services and certain organ transplant services.
No
Yes
No
TNTennessee`s CHIP
Phase I
NA
--
--
--
--
--
--
--
--
--
--
--
TXTexas Healthy Steps
Phase I












TXTexas Healthy Steps
Phase I
NA
--
--
--
--
--
--
--
--
--
--
--
TXTexas Healthy Steps
Phase II












TXTexas Healthy Steps
Phase II
1
Yes
Yes
Yes
Yes
No
Yes
Yes
Skilled nursing facilities, emergency services covered based on a prudent layperson criterion, routine eye exam, transplants, smoking cessation programs, chiropractic services.
No
Yes
No
UTUT SCHIP

NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Vision; hearing.
No
Yes
No
VAVA SCHIP
Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan
NA
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Optometrists; podiatrists; nurse-midwife services; nursing facility services at a Medicaid-certified facility; physical rehabilitation in facilities certified as rehabilitative hospitals which meet requirements to be excluded from the Medicare PPS system and in CORFS; community mental health services.
No
Yes
No
VAVA SCHIP
Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan
1





No


Yes


VAVA SCHIP
Family Access to Medical Insurance Security Plan (FAMIS) - ESI
1
--
--
--
--
--
--
--
--
--
--
--
VIVirgin Island`s SCHIP

NA
--
--
--
--
--
--
--
--
--
--
--
VIVirgin Island`s SCHIP

1











VTVT SCHIP

NA
Yes
Yes
Yes
Yes
NR
Yes
Yes
Vision; transplants; rehabilitation (inpatient short-term); podiatry; eyeglasses; chiropractic.
No
Yes
Yes
VTVT SCHIP

1











VTVT SCHIP

2











VTVT SCHIP

3











WAWA SCHIP

NA
Yes
Yes
Yes
Yes
NR
Yes
Yes
Blood services; advanced RN services; audiology; chiropractic; eyeglasses and exams; hearing aids; nutrition therapy; organ transplants; oxygen/respiratory therapy; pain management; personal care services; podiatry; prosthetics; psychiatric services; psychological evaluation.
NR
Yes
NR
WAWA SCHIP

1











WIBadgerCare
Medicaid expansion












WIBadgerCare
Medicaid expansion
NA
--
--
--
--
--
--
--
--
--
--
--
WIBadgerCare
Medicaid expansion
1











WIBadgerCare
Employer-sponsored Coverage
1
--
--
--
--
--
--
--

Yes
--
--
WIBadgerCare

NA











WVWV SCHIP
Phase I
NA
--
--
--
--
--
--
--
--
--
--
--
WVWV SCHIP
Phase I
2











WVWV SCHIP
Phase II
1
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Eye exams and lenses.
No
Yes
No
WVWV SCHIP
Phase II
2











WVWV SCHIP
Phase II
3











WYWY SCHIP
CHIP One
NA
Yes
Yes
NR
NR
NR
Yes
Yes
EPSDT; hearing services; comprehensive rehabilitation services; vision services.
No
Yes
Yes