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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. ME = Medicaid expansion SSP = Separate state program Numbers in boxes: Place the on-screen arrow over the numbers in black or white boxes to view the program names. Click on the numbers in white boxes to view additional program information. Asterisks: Click on the asterisks to view footnotes. |
| Identifiers | Amendment Information | |||
|---|---|---|---|---|
| State | # of Programs | Name | # of Amendments | Other Changes Made by Amendment |
| AK | 1 | AK Denali KidCare | NA | |
| AL | 3 | AL SCHIP | 2 | |
| AR | 2 | AR SCHIP | 1 | |
| AS | 1 | AS SCHIP | NA | |
| AZ | 1 | KidsCare | 4 | Amendment four to KidsCare allows parental declaration of income for the program. |
| CA | 6 | Healthy Families | 5 | Amendment two to Healthy Families, Medi-Cal increases the enrollment broker fees from $25 to $50 per successful applicant and exempts Indian children from copayments when they use Indian Health Service funded clinics. / Amendment five to Healthy Families, MRMIB exempts Native American and Alaska Native children from cost sharing requirements. This is a federal requirement for SCHIP. / Amendment five to Healthy Families, AIM exempts Native American and Alaska Native children from cost sharing requirements. This is a federal SCHIP requirement. / Amendment three to Healthy Families, Child Health and Disability Prevention Program changes the provider claiming period for services received prior to enrollment from 30 to 90 days. / Amendment two to Healthy Families, California Children's Health Services increases the enrollment broker fees from $25 to $50 per successful applicant and exempts Indian children from copayments when they use Indian Health Service funded clinics. / Amendment two to Healthy Families, County Mental Health Program increases the enrollment broker fees from $25 to $50 per successful applicant and exempts Indian children from copayments when they use Indian Health Service funded clinics. |
| CO | 1 | CHP+ | 2 | Amendment one to CHP+ adds case management services for HMO enrollees, discontinues transportation services for those enrolled in the CHP+ provider network. |
| CT | 4 | HUSKY Program | 1 | Amendment one to the HUSKY Program, Part Ballows federal employees and children of some municipal employees to be eligible for HUSKY B. / Amendment one to the HUSKY Program, HUSKY Plus Plan for Children with Special Physical Health Needs implements full mental health parity by eliminating limitations on inpatient and outpatient treatment of DSM IV mental health conditions or substance abuse problems. / Amendment one to the HUSKY Program, HUSKY Plus Behavioral Health Program implements full mental health parity by eliminating limitations for inpatient and outpatient treatment of DSM IV mental health conditions or substance abuse problems. |
| DC | 1 | DC Healthy Kids | NA | |
| DE | 1 | Delaware Healthy Children`s Program | 1 | Amendment one to Delaware Healthy Children's Program states that all wages paid by the Census Bureau for temporary employment related to Census 2000 activities are excluded for the period April 1, 2000 through December 31, 2000. |
| FL | 4 | FL KidCare | 4 | Amendment three to FL KidCare, Healthy Kids states that Florida developed a dental services pilot project in Palm Beach and Dade County. Providers have already signed contracts to provide limited dental benefits to Healthy Kids enrollees beginning in the fall of 1999. The pilot is to run for a minimum of 18 months, and will culminate with an in-depth project evaluation. Based on the findings of the evaluation, the program may expand to other areas of the state. Also, Flordia uses a third party administrator to pre-screes applications for Medicaid eligibility. The administrator also processess KidCare applications for children not eligible for Medicaid. / Amendment four to FL KidCare Medi-Kids implements mandatory assignment for children whose families do not chose a managed care provider within 10 days of receiving a choice-counseling letter. |
| GA | 1 | Peach Care for Kids | 1 | Amendment one to Peach Care for Kids states that if coverage is terminated due to nonpayment of premium, coverage may be reinstated at any time within the 12 month eligibility period, with the payment of premium for month of reinstatement. Coverage will resume the first of the next month. |
| GU | 1 | Guam SCHIP | NA | |
| HI | 1 | HI SCHIP | 1 | |
| IA | 2 | Hawk-I | 4 | Amendment three to Hawk-I, Separate State Program adds a third managed care plan, John Deere Health Plan to selected counties in Iowa. The plan also removes cost sharing for American Indians/Alaska Native children and allows a deduction for depreciation of capital assets when considering self-employment income. |
| ID | 1 | ID SCHIP | 2 | Amendment two to ID SCHIP states that in order to increase coordination efforts, the state created an executive oversight committee responsible for overall project direction and quality improvement activities for SCHIP. The state also simplified the application and improved outreach approaches. The state eliminated the requirement for proof of citizenship from non-applicants and annualized income for enrollment in order to assist seasonal or temporary workers. |
| IL | 2 | Kidcare | 1 | |
| IN | 2 | Hoosier Healthwise | 2 | |
| KS | 1 | HealthWave | 1 | Amendment one to Heathwave changes the state's Title XXI State plan to allow an infant born to a mother, who is under age 19 and enrolled in HealthWave, to retroactively enroll in HealthWave starting with the month of birth as a means of ensuring continuity of care for the newborn. However, the infant must be screened for Medicaid eligibility and enrolled in Medicaid, if appropriate, no later than 90 days from the date the Agency was notified of the infant’s birth. The mother of the infant will already be screened for Medicaid eligibility as a pregnant woman, with a family size that includes the unborn child. This amendment also specifies that the clearinghouse contractor is responsible for enrollment of HealthWave eligibles into participating health plans. |
| KY | 2 | KCHIP | 2 | Amendment two to KCHIP, Insurance Product changes the service delivery mechanism from accountable pediatric organizations to a Medicaid-look alike. Health care services include all current Medicaid services except non-emergency transportation and EPSDT special services. |
| LA | 1 | LaCHIP | 1 | |
| MA | 4 | MassHealth | NA | |
| MD | 3 | Maryland Children`s Health Program | 2 | Amendment one to Maryland Children's Health Program, Phase I adds coverage of the Maryland Kids Count program, a Section 1115 demonstration, to the SCHIP population. The population added to SCHIP includes children who are born after September 30, 1983 who are in families below 185% FPL but who do not qualify for SOBRA eligibility for Medicaid. Thus, children ages one through five in families with income above 133% of FPL and children ages six and above who were born after September 30, 1983 who are in families with income over 100% of FPL will be newly added to MD's SCHIP. |
| ME | 2 | Cubcare | 1 | Amendment one to Cubcare states that American Indian and Alaska Native children are not required to enroll in mandatory managed care. |
| MI | 2 | MI SCHIP | 2 | Amendment two to MI SCHIP, MI CHILD allows self-declaration of income and modifies the redetermination process. / Amendment two to MI SCHIP, Medicaid Expansion establishes self-declaration of income and simplifies the redermination process. |
| MN | 1 | Minnesota Medical Assistance Program | NA | |
| MO | 1 | MC+ for Kids | 1 | |
| MP | 1 | CNMI SCHIP | NA | |
| MS | 3 | MS SCHIP | 3 | Amendment one to MS CHIP, Employer-sponsored coverage states that Mississippi will provide secondary coverage for children enrolled in employer-sponsored plans by providing no-cost well-child visits and immunizations if not covered by the employer-sponsored plan. |
| MT | 1 | MT SCHIP | 1 | Amendment one to MT SCHIP states that birth control contraceptives are no longer a covered benefit. The state changed the required time to process SCHIP applications from within 5 working days to within 10 working days. The maximum annual copayment was increased from $200 to $215. |
| NC | 1 | NC SCHIP | 5 | Amendment five to NC SCHIP permits the state to establish a freeze on new enrollments in order to stay within the federal and state budget parameters. The state anticipates closing new enrollments for an unspecified amount of time beginning January 1, 2001. Families will continue to file applications to the program and the eligibility information system will establish a computerized waiting list. When the Division of Medical Assistance determines that it is financially possible to allow for new enrollees, applications will be activated according to the order on the waiting list. |
| ND | 2 | Healthy Steps | 1 | |
| NE | 1 | Kid`s Connection | 1 | |
| NH | 2 | Healthy Kids | 1 | Amendment one to Healthy Kids Gold modifies the benefits package. Prescription contraceptive drugs are limited to FDA approved oral contraceptives and Depoprovera. Emergency dental treatment is covered at 100%, and coverage of fillings is expanded to to 100%, up to a maximum of $500 per child per year. |
| NJ | 5 | KidCare | 4 | Amendment three to KidCare, Plan B states that children are exempt from the six month period of uninsurance prior to application if the child was covered under an individual health benefits plan or COBRA plan prior to application for NJ KidCare. Exceptions are also granted if the child had not been voluntarily disenrolled from an employer-sponsored group insurance plan during the six-month period prior to application for NJ KidCare, or the child loses insurance as a result of a job change, when the insured does not have access to affordable coverage in the new job. / Amendment three to KidCare, Plan C states that children are exempt from the six month period of uninsurance prior to application if the child was covered under an individual health benefits plan or COBRA plan prior to application for NJ KidCare. Exceptions are also granted if the child had not been voluntarily disenrolled from an employer-sponsored group insurance plan during the six-month period prior to application for NJ KidCare, or the child loses insurance as a result of a job change, when the insured does not have access to affordable coverage in the new job. / Amendment three to KidCare, Plan D states that children are exempt from the six month period of uninsurance prior to application if the prior coverage was lost because the employee changed jobs and does not have access to affordable coverage in the new job. |
| NM | 2 | NM SCHIP | 2 | Amendment two to NM SCHIP exempts Native American children from making copayments. This is a federal SCHIP requirement. |
| NV | 1 | Nevada Check-Up | 1 | |
| NY | 2 | NY SCHIP | 2 | |
| OH | 1 | OH Child Health Plan | 1 | Amendment one to OH Child Health Plan changes the redetermination period from 6 months to one year. |
| OK | 1 | SoonerCare | 1 | |
| OR | 1 | OR SCHIP | 3 | Amendment three to OR SCHIP increases the number of children permitted to be covered under the State's enrollment cap from 16,800 (as stated in the original State plan) to approximately 19,800 children. |
| PA | 1 | PA SCHIP | 4 | Amendment two to PA SCHIP changes the eligibility standards methodology to allow a work-expense deduction and day-care expense deduction to be subtracted from gross earnings to determine net available income. |
| PR | 1 | PR SCHIP | NA | |
| RI | 2 | RIte Care | 1 | Amendment one to RIte Care eliminates the interview process. |
| SC | 1 | Partners for Healthy Children | NA | |
| SD | 2 | SD SCHIP | 3 | Amendment two to SD SCHIP eliminated cost sharing for 18-year olds. There is no cost sharing required in South Dakota's SCHIP program. |
| TN | 1 | Tennessee`s CHIP | NA | |
| TX | 2 | Texas Healthy Steps | 1 | |
| UT | 1 | UT SCHIP | NA | |
| VA | 2 | VA SCHIP | 1 | Amendment one to VA SCHIP changes the name of the program from Children's Medical Security Insurance Plan to Family Access to Medical Insurance Security Plan (FAMIS). |
| VI | 1 | Virgin Island`s SCHIP | 1 | The Virgin Islands originally proposed to use SCHIP funds to extend Title XXI coverage to Medicaid children after the Territory ran out of federally capped Medicaid dollars. The SCHIP funds were used to pay inpatient pediatric medical bills for children in the Territory's two hospitals. Amendment one allows the Title SCHIP funds to pay pediatric bills incurred by any approved medical provider. |
| VT | 1 | VT SCHIP | 3 | |
| WA | 1 | WA SCHIP | 1 | Amendment one to WA SCHIP expands the assignment of children into manged care health plans, eliminates the requirement for families to select a health plan as part of the application process, and eliminates the requirement for families to sign a written agreement to pay premiums as a condition of eligibility. The amendment also excludes temporary employment related income from Census 2000 activities. |
| WI | 3 | BadgerCare | 1 | |
| WV | 2 | WV SCHIP | 3 | Amendment two to WV SCHIP, Phase I effectively eliminates the Medicaid expansion program and incorporates the enrollees into the state designed program, or Phase II of West Virginia's SCHIP. / Amendment three to WV SCHIP, Phase II changes the name of the program from Phase II to Phase III. |
| WY | 1 | WY SCHIP | NA | |
| U.S. | # of Programs Mean| Range | | # of Amendments Mean|Range | |
| 56 | 1.8 | 1 - 6 | 1.5 | 0 - 5 | | |