|
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 | Quality Assurance | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| State | Program | Phase or Component | Amend.# | External Audit/ In-depth Review | Credentialing of Plans | Credentialing of Providers | Plans Must Submit Claims/ Encounter Data | Plans Must Report Summary Data | Enrollee Survey | Enrollment Monitoring | Grievance/ Complaint Process |
| 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 | NR | NR | Yes | Yes | Yes | NR | NR |
| AL | AL SCHIP | All Kids (Phase 2) | 2 | ||||||||
| AL | AL SCHIP | Plus (Phase 3) | |||||||||
| AL | AL SCHIP | Plus (Phase 3) | 2 | NR | NR | NR | Yes | Yes | Yes | NR | NR |
| AR | AR SCHIP | Phase I - ARKids A | |||||||||
| AR | AR SCHIP | Phase I - ARKids A | NA | Yes | -- | -- | -- | -- | Yes | -- | -- |
| AR | AR SCHIP | Phase II - ARKids B | |||||||||
| AR | AR SCHIP | Phase II - ARKids B | 1 | Yes | NR | NR | Yes | Yes | Yes | NR | Yes |
| AS | AS SCHIP | NA | -- | -- | -- | -- | -- | -- | -- | -- | |
| AZ | KidsCare | NA | Yes | Yes | NR | Yes | Yes | Yes | NR | Yes | |
| AZ | KidsCare | 1 | |||||||||
| AZ | KidsCare | 2 | |||||||||
| AZ | KidsCare | 3 | NR | Yes | NR | ||||||
| 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 | Yes | Yes | NR | NR | Yes | Yes | Yes | Yes |
| 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 | NR | NR | Yes | Yes | Yes | Yes |
| 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 | Yes | 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 | Yes | 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 | Yes | NR | NR | Yes | NR | Yes |
| CA | Healthy Families | County Mental Health Program | 2 | ||||||||
| CO | CHP+ | NA | Yes | Yes | Yes | Yes | Yes | Yes | NR | Yes | |
| CO | CHP+ | 1 | |||||||||
| CO | CHP+ | 2 | |||||||||
| CT | HUSKY Program | Part A | |||||||||
| CT | HUSKY Program | Part A | NA | Yes | Yes | Yes | -- | Yes | -- | -- | 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 | Yes | Yes | NR | Yes | Yes | NR | Yes |
| CT | HUSKY Program | Part B | 1 | ||||||||
| CT | HUSKY Program | HUSKY Plus Plan for Children with Special Physical Health Needs | NA | Yes | NA | NR | NR | NR | NR | NR | Yes |
| CT | HUSKY Program | HUSKY Plus Plan for Children with Special Physical Health Needs | 1 | ||||||||
| CT | HUSKY Program | HUSKY Plus Behavioral Health Plan | NA | Yes | NA | NR | NR | NR | NR | NR | Yes |
| CT | HUSKY Program | HUSKY Plus Behavioral Health Plan | 1 | ||||||||
| DC | DC Healthy Kids | NA | Yes | -- | -- | Yes | Yes | -- | Yes | -- | |
| DE | Delaware Healthy Children`s Program | NA | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
| 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 | Yes | Yes | Yes | Yes | Yes | Yes | Yes | 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 | NR | Yes | Yes | Yes | NR | Yes | NR |
| FL | FL KidCare | Medi-Kids | 4 | ||||||||
| FL | FL KidCare | CMS | 1 | Yes | Yes | Yes | Yes | Yes | NR | Yes | NR |
| FL | FL KidCare | CMS | 4 | ||||||||
| GA | Peach Care for Kids | NA | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
| GA | Peach Care for Kids | 0 | |||||||||
| GA | Peach Care for Kids | 1 | |||||||||
| GU | Guam SCHIP | NA | -- | -- | -- | Yes | Yes | -- | Yes | -- | |
| HI | HI SCHIP | Phase I | NA | -- | -- | -- | -- | -- | -- | -- | -- |
| HI | HI SCHIP | Phase I | 1 | Yes | |||||||
| IA | Hawk-I | Medicaid Expansion | NA | -- | -- | -- | -- | -- | -- | -- | -- |
| IA | Hawk-I | Medicaid Expansion | 4 | ||||||||
| IA | Hawk-I | Separate State Program | 1 | NR | NR | NR | Yes | NR | 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 | -- | -- | -- | -- | -- | -- | -- | -- | |
| ID | ID SCHIP | 1 | |||||||||
| ID | ID SCHIP | 2 | |||||||||
| IL | Kidcare | Phase 1 | NA | -- | -- | -- | -- | Yes | Yes | -- | Yes |
| IL | Kidcare | Phase 2 | 1 | Yes | NR | NR | NR | NR | Yes | Yes | |
| IN | Hoosier Healthwise | Phase 1 | NA | -- | -- | -- | -- | -- | -- | -- | -- |
| IN | Hoosier Healthwise | Phase 1 | 0 | ||||||||
| IN | Hoosier Healthwise | Phase 2 | 2 | Yes | NR | NR | Yes | Yes | NR | Yes | |
| KS | HealthWave | NA | Yes | Yes | NR | Yes | Yes | Yes | Yes | Yes | |
| KS | HealthWave | 1 | |||||||||
| KY | KCHIP | Medicaid Expansion | |||||||||
| KY | KCHIP | Medicaid Expansion | NA | -- | -- | -- | Yes | Yes | Yes | -- | Yes |
| KY | KCHIP | Medicaid Expansion | 1 | ||||||||
| KY | KCHIP | Insurance Product | |||||||||
| KY | KCHIP | Insurance Product | NA | NR | NR | NR | Yes | Yes | Yes | NR | Yes |
| KY | KCHIP | Insurance Product | 1 | ||||||||
| KY | KCHIP | Insurance Product | 2 | ||||||||
| LA | LaCHIP | NA | -- | -- | -- | Yes | -- | -- | -- | -- | |
| LA | LaCHIP | 1 | |||||||||
| MA | MassHealth | Standard | NA | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| MA | MassHealth | Family Assistance Direct Coverage | NA | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| MA | MassHealth | Family Assistance Premium Assistance | NA | NA | NA | NA | NA | NA | Yes | Yes | Yes |
| MA | MassHealth | Common Health | NA | Yes | NA | Yes | NA | NA | Yes | Yes | Yes |
| 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 | Yes | NR | NR | Yes | NR | NR | NR | NR |
| MD | Maryland Children`s Health Program | Phase II- ESI | 2 | No | No | No | No | No | Yes | No | No |
| ME | ME CHIP Medicaid Expansion | NA | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
| ME | Cubcare | NA | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
| ME | Cubcare | 1 | |||||||||
| MI | MI SCHIP | MI CHILD | NA | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 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 | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
| MO | MC+ for Kids | 1 | |||||||||
| MP | CNMI SCHIP | NA | -- | -- | -- | -- | -- | Yes | -- | -- | |
| MS | MS SCHIP | Phase I | |||||||||
| MS | MS SCHIP | Phase I | NA | -- | -- | -- | -- | -- | -- | -- | -- |
| MS | MS SCHIP | Phase II | |||||||||
| MS | MS SCHIP | Phase II | 1 | NR | NR | Yes | Yes | No | Yes | NR | NR |
| MS | MS SCHIP | Phase II | 2 | ||||||||
| MS | MS SCHIP | Phase II | 3 | ||||||||
| MS | MS SCHIP | Employer-sponsored coverage | 1 | NR | NR | Yes | Yes | NR | Yes | NR | NR |
| MT | MT SCHIP | NA | NR | NR | NR | Yes | NR | NR | NR | Yes | |
| MT | MT SCHIP | 1 | |||||||||
| NC | NC SCHIP | NA | NR | NR | NR | Yes | NR | 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 | -- | -- | -- | -- | -- | -- | -- | -- |
| ND | Healthy Steps | Phase II | |||||||||
| ND | Healthy Steps | Phase II | 1 | Yes | Yes | NR | NR | Yes | Yes | NR | Yes |
| 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 | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| NJ | KidCare | Plan A | NA | -- | -- | -- | -- | -- | -- | -- | -- |
| NJ | KidCare | Plan B | NA | Yes | NR | NR | Yes | Yes | Yes | NR | Yes |
| NJ | KidCare | Plan B | 1 | ||||||||
| NJ | KidCare | Plan B | 3 | ||||||||
| NJ | KidCare | Plan B | 4 | ||||||||
| NJ | KidCare | Plan C | NA | Yes | NR | NR | Yes | Yes | Yes | NR | Yes |
| NJ | KidCare | Plan C | 1 | ||||||||
| NJ | KidCare | Plan C | 3 | ||||||||
| NJ | KidCare | Plan C | 4 | ||||||||
| NJ | KidCare | Plan D | 2 | Yes | NR | NR | Yes | Yes | Yes | NR | Yes |
| 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 | Yes | Yes | NR | Yes | Yes | Yes | NR | Yes | |
| NV | Nevada Check-Up | 1 | |||||||||
| NY | NY SCHIP | CHPLUS | |||||||||
| NY | NY SCHIP | CHPLUS | |||||||||
| NY | NY SCHIP | CHPLUS | NA | NR | NR | Yes | Yes | Yes | Yes | Yes | NR |
| NY | NY SCHIP | CHPLUS | 2 | ||||||||
| NY | NY SCHIP | Medicaid Expansion | 2 | -- | -- | -- | -- | -- | -- | -- | -- |
| OH | OH Child Health Plan | NA | Yes | -- | -- | Yes | Yes | -- | -- | -- | |
| OH | OH Child Health Plan | 1 | |||||||||
| OK | SoonerCare | NA | -- | -- | -- | -- | -- | -- | -- | -- | |
| OK | SoonerCare | 1 | |||||||||
| OR | OR SCHIP | NA | Yes | Yes | Yes | Yes | Yes | Yes | NR | Yes | |
| OR | OR SCHIP | 2 | |||||||||
| OR | OR SCHIP | 3 | |||||||||
| PA | PA SCHIP | NA | Yes | Yes | NR | Yes | Yes | Yes | Yes | Yes | |
| 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 | Yes | -- | -- | -- | -- | Yes | -- | Yes | |
| SD | SD SCHIP | 1 | |||||||||
| SD | SD SCHIP | 2 | |||||||||
| SD | SD SCHIP | CHIP NM | 3 | Yes | NR | NR | Yes | Yes | Yes | Yes | Yes |
| 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 | NR | Yes | Yes | NR | Yes | Yes | Yes |
| UT | UT SCHIP | NA | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
| VA | VA SCHIP | Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan | NA | Yes | NR | NR | Yes | Yes | Yes | Yes | Yes |
| VA | VA SCHIP | Children's Medical Security Insurance Plan/Family Access to Medical Insurance Security Plan | 1 | NR | Yes | Yes | NR | NR | NR | NR | |
| VA | VA SCHIP | Family Access to Medical Insurance Security Plan (FAMIS) - ESI | 1 | NR | Yes | Yes | NR | Yes | NR | NR | NR |
| VI | Virgin Island`s SCHIP | NA | -- | -- | -- | -- | -- | -- | -- | -- | |
| VI | Virgin Island`s SCHIP | 1 | |||||||||
| VT | VT SCHIP | NA | NR | NR | NR | NR | NR | NR | NR | NR | |
| VT | VT SCHIP | 1 | |||||||||
| VT | VT SCHIP | 2 | |||||||||
| VT | VT SCHIP | 3 | |||||||||
| WA | WA SCHIP | NA | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |
| WA | WA SCHIP | 1 | |||||||||
| WI | BadgerCare | Medicaid expansion | |||||||||
| WI | BadgerCare | Medicaid expansion | NA | -- | Yes | -- | Yes | Yes | Yes | Yes | -- |
| 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 | Yes | NR | NR | Yes | Yes | Yes | NR | Yes |
| WV | WV SCHIP | Phase II | 2 | ||||||||
| WV | WV SCHIP | Phase II | 3 | ||||||||
| WY | WY SCHIP | CHIP One | NA | NR | NR | NR | NR | NR | Yes | NR | Yes |