Children's Health Insurance Expansions: State Experiences in Developing Benefit Packages and Cost-Sharing Arrangements. Washington

02/17/1998

Washington State created the Basic Health Plan for its uninsured population under 200% FPL in 1988. In 1993, in order to expand the state-only sponsored program to more participants, the state decided to seek a federal match for part of the population through a Medicaid expansion for children ages 0-19 under 200% FPL. This Medicaid expansion was called Basic Health Plus in order to avoid the stigma of Medicaid and to correlate it to the Basic Health Plan, the program with a more limited benefit package. The Basic Health plan is offered to both adults and children and had almost 8,000 children in this subsidized plan as of November 1997.