|
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 | Benefits | ||||
|---|---|---|---|---|---|
| State | Program | Phase or Component | Amend.# | Other Services | Specify Other Services |
| AK | AK Denali KidCare | NA | -- | -- | |
| 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 | |
| AL | AL SCHIP | All Kids (Phase 2) | 2 | ||
| AL | AL SCHIP | Plus (Phase 3) | |||
| AL | AL SCHIP | Plus (Phase 3) | 2 | ||
| 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 | Chiropractic services, emergency department services, eyeglasses, home health, immunizations, podiatry, preventive health screenings, skilled nursing facility services, vision services. |
| AS | AS SCHIP | NA | -- | -- | |
| AZ | KidsCare | NA | 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 | -- | -- |
| 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 | 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 | Coverage under the AIM program is virtually identical to that available through the state employees benchmark plan (the health insurance purchasing pool). AIM does not cover dental or vision benefits. However, AIM has more restrictive mental health coverage because the state views this benefit as not germane to a child less than 1. |
| 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 | Yes | History and physical examination by comprehensive care provider; health and developmental history; assessment of nutritional status; unclothed physical examination including assessment of physical growth; pelvic exam; vision screening; hearing screening; tuberculin testing; laboratory tests; immunizations. |
| 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 | Yes | Physician services; inpatient/outpatient hospital services; licensed nursing care in the home; certified home health aid visits; physical and occupational therapy; other licensed and non-licensed services; medical transportation; second opinions; pediatric specialist services; special care center services; organ transplants; pharmacy services; dialysis; durable medical equipment (rehabilitative and medical); medical supplies; incontinence supplies; prosthetics and orthotics; vision services; therapies; audiology; cochlear implants; laboratory services; radiology services; medical nutrition therapy; mental health; other services and equipment; out of state care; investigational services; dental services. |
| CA | Healthy Families | California Children`s Services | 2 | ||
| CA | Healthy Families | County Mental Health Program | |||
| CA | Healthy Families | County Mental Health Program | NA | Yes | Acute psychiatric inpatient hospital services; administrative day services; adult residential treatment services; crisis residential treatment service; crisis intervention; crisis stabilization; day rehabilitation; day treatment intensive; medication support services; mental health services; psychiatric health facility services; targeted case management. |
| CA | Healthy Families | County Mental Health Program | 2 | ||
| CO | CHP+ | NA | NR | ||
| CO | CHP+ | 1 | |||
| CO | CHP+ | 2 | |||
| CT | HUSKY Program | Part A | |||
| CT | HUSKY Program | Part A | NA | -- | -- |
| CT | HUSKY Program | Part A | 0 | ||
| CT | HUSKY Program | Part A | 1 | ||
| CT | HUSKY Program | Part B | |||
| CT | HUSKY Program | Part B | NA | No | |
| CT | HUSKY Program | Part B | 1 | ||
| CT | HUSKY Program | HUSKY Plus Plan for Children with Special Physical Health Needs | NA | Yes | All eligibles receive care coordination, advocacy, family support and case management services as well as a comprehensive multidisciplinary evaluation once a year and up to 3 follow-up visits per year with members of the multidisciplinary group as needed. In addition, the range of services includes the following to the extent that they are not covered under HUSKY, Part B: MRI or CT (one per year above basic coverage), gait analysis, sleep study/polysomnography, EG/telemetry, audiometry, EKG/Holter, hearing aids (if not covered by basic plan), orthotics (two visits per year exclusive of basic plan), prosthetics, speech therapy, occupational and physical therapy, durable medical equipment (exclusive of basic plan and including items that assist in activities of daily living), pulmonary function testing, respiratory therapy, nutritional therapy including special nutritional formulas or supplements, specialized and adaptive seating, wheelchairs (including motorized wheelchair if not provided through basic plan), transportation, cast room, medical and surgical supplies, laboratory services (any laboratory evaluation not covered in the basic plan), radiology, emergency care (exclusive of basic plan), skilled intermittent nursing, home health aide, pharmacy (after benefit in basic plan is exhausted), orthodontics. Under extreme circumstances, services of a registered dietician may be covered. |
| CT | HUSKY Program | HUSKY Plus Plan for Children with Special Physical Health Needs | 1 | ||
| CT | HUSKY Program | HUSKY Plus Behavioral Health Plan | NA | Yes | HUSKY Plus is a concurrent supplemental benefit which provides case management, intensive in-home child and adolescent psychiatric services, and mobile crisis services. Acute inpatient hospital care, residential psychiatric treatment, and residential substance abuse rehabilitation are not covered by HUSKY Plus and outpatient and partial hospital/extended day treatment are available only when the standard HUSKY, Part B benefits for those services have been exhausted. |
| CT | HUSKY Program | HUSKY Plus Behavioral Health Plan | 1 | ||
| DC | DC Healthy Kids | NA | -- | -- | |
| DE | Delaware Healthy Children`s Program | NA | No | ||
| DE | Delaware Healthy Children`s Program | 1 | |||
| FL | FL KidCare | Medicaid expansion | |||
| FL | FL KidCare | Medicaid expansion | NA | -- | -- |
| FL | FL KidCare | Medicaid expansion | 1 | ||
| FL | FL KidCare | Healthy Kids | |||
| FL | FL KidCare | Healthy Kids | NA | NR | |
| 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 | Enrollees will receive the standard Medicaid benefit package. |
| FL | FL KidCare | Medi-Kids | 4 | ||
| FL | FL KidCare | CMS | 1 | Yes | Enrollees will receive the basic Medicaid package and early intervention programs, primary and specialty care, and long term care. |
| FL | FL KidCare | CMS | 4 | ||
| GA | Peach Care for Kids | NA | NR | ||
| 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 | No | |
| 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 | No | |
| IN | Hoosier Healthwise | Phase 1 | NA | -- | -- |
| IN | Hoosier Healthwise | Phase 1 | 0 | ||
| IN | Hoosier Healthwise | Phase 2 | 2 | Yes | |
| KS | HealthWave | NA | Yes | Missing/not specified | |
| KS | HealthWave | 1 | |||
| KY | KCHIP | Medicaid Expansion | |||
| KY | KCHIP | Medicaid Expansion | NA | -- | -- |
| KY | KCHIP | Medicaid Expansion | 1 | ||
| KY | KCHIP | Insurance Product | |||
| KY | KCHIP | Insurance Product | NA | NR | |
| KY | KCHIP | Insurance Product | 1 | ||
| KY | KCHIP | Insurance Product | 2 | No | |
| LA | LaCHIP | NA | -- | -- | |
| LA | LaCHIP | 1 | |||
| MA | MassHealth | Standard | NA | Yes | Adult day health services; Chapter 766: home assessment and participation in team meetings; chiropractic services; and institutional care. |
| MA | MassHealth | Family Assistance Direct Coverage | NA | Yes | Chapter 766: home assessment and participation in team meetings; chiropractic services. |
| MA | MassHealth | Family Assistance Premium Assistance | NA | NR | |
| MA | MassHealth | Common Health | NA | Yes | Adult day health services; Chapter 766: home assessment and participation in team meetings; chiropractic services. |
| 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 | No | |
| MD | Maryland Children`s Health Program | Phase II- ESI | 2 | No | |
| ME | ME CHIP Medicaid Expansion | NA | -- | -- | |
| ME | Cubcare | NA | Yes | Rural health clinic services; ambulatory services; federally qualified health center services. | |
| ME | Cubcare | 1 | |||
| MI | MI SCHIP | MI CHILD | NA | No | |
| 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 | -- | -- |
| MS | MS SCHIP | Phase II | |||
| MS | MS SCHIP | Phase II | 1 | No | |
| MS | MS SCHIP | Phase II | 2 | ||
| MS | MS SCHIP | Phase II | 3 | ||
| MS | MS SCHIP | Employer-sponsored coverage | 1 | Yes | Employer-sponsored health benefits. |
| MT | MT SCHIP | NA | No | ||
| MT | MT SCHIP | 1 | |||
| NC | NC SCHIP | NA | 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 | -- | -- |
| ND | Healthy Steps | Phase II | |||
| ND | Healthy Steps | Phase II | 1 | No | |
| NE | Kid`s Connection | NA | -- | -- | |
| NE | Kid`s Connection | 1 | |||
| NH | Healthy Kids | Gold | NA | -- | -- |
| NH | Healthy Kids | Gold | 1 | ||
| NH | Healthy Kids | Silver | NA | NR | |
| NJ | KidCare | Plan A | NA | -- | -- |
| NJ | KidCare | Plan B | NA | Yes | Prenatal support services. |
| NJ | KidCare | Plan B | 1 | ||
| NJ | KidCare | Plan B | 3 | ||
| NJ | KidCare | Plan B | 4 | ||
| NJ | KidCare | Plan C | NA | Yes | Prenatal support services. |
| NJ | KidCare | Plan C | 1 | ||
| NJ | KidCare | Plan C | 3 | ||
| NJ | KidCare | Plan C | 4 | ||
| NJ | KidCare | Plan D | 2 | ||
| 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 | ||
| NV | Nevada Check-Up | 1 | |||
| NY | NY SCHIP | CHPLUS | |||
| NY | NY SCHIP | CHPLUS | |||
| NY | NY SCHIP | CHPLUS | NA | NR | |
| 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 | -- | -- | |
| OK | SoonerCare | 1 | |||
| OR | OR SCHIP | NA | No | ||
| OR | OR SCHIP | 2 | |||
| OR | OR SCHIP | 3 | |||
| PA | PA SCHIP | NA | No | ||
| PA | PA SCHIP | 1 | |||
| PA | PA SCHIP | 2 | |||
| PA | PA SCHIP | 3 | |||
| PA | PA SCHIP | 4 | |||
| PR | PR SCHIP | 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 | No | |
| 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 | No | |
| UT | UT SCHIP | NA | No | ||
| VA | VA SCHIP | Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan | NA | Yes | EPSDT |
| VA | VA SCHIP | Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan | 1 | Well child care and physicial therapy, occupational therapy, speech language pathology, and skilled nursing services for special education students. | |
| 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 | Yes | missing/not specified | |
| VT | VT SCHIP | 1 | |||
| VT | VT SCHIP | 2 | |||
| VT | VT SCHIP | 3 | |||
| WA | WA SCHIP | NA | Yes | Out of state care; rural care. | |
| WA | WA SCHIP | 1 | |||
| WI | BadgerCare | Medicaid expansion | |||
| WI | BadgerCare | Medicaid expansion | NA | -- | -- |
| WI | BadgerCare | Medicaid expansion | 1 | ||
| WI | BadgerCare | Employer-sponsored Coverage | 1 | -- | |
| WI | BadgerCare | NA | |||
| WV | WV SCHIP | Phase I | NA | -- | -- |
| WV | WV SCHIP | Phase I | 2 | ||
| WV | WV SCHIP | Phase II | 1 | No | |
| WV | WV SCHIP | Phase II | 2 | ||
| WV | WV SCHIP | Phase II | 3 | ||
| WY | WY SCHIP | CHIP One | NA | NR | |