Interim Evaluation Report: Congressionally Mandated Evaluation of the State Children’s Health Insurance Program. B. Family Coverage


Before HIFA, states desiring parental coverage waivers under SCHIP had to demonstrate that they covered children up to 200 percent of the FPL, that they enrolled children statewide without a waiting list, adequately promoted enrollment and retention of children in SCHIP and Medicaid, and that coverage expansions to parents would make lower-income parents eligible for coverage prior to making higher-income parents eligible. 68 Also, since no additional funds were provided to finance expansions to parents, states with separate state programs had to ensure that the cost of covering children and parents does not exceed the state's SCHIP allotment. 69 The states in this study implemented their family coverage programs before HIFA was established.

68. Lisa Dubay and Genevieve Kenney, "Covering Parents Through Medicaid and SCHIP: Potential Benefits to Low-Income Parents and Children," Washington, DC: The Urban Institute, October 2001.

69. When a Medicaid expansion program expands coverage to parents under SCHIP, these parents may use Title XIX funds when the SCHIP allotment runs out and receive federal funds at the regular Medicaid matching rate.

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