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Model Application Template for the State Children’s Health Insurance Program

Effective Date:

October 1, 2009 24 Approval Date: November 19, 2010

ALL Kids uses the same application form as SOBRA Medicaid and the Alabama Child Caring Foundation.

4.3.1 Describe the state’s policies governing enrollment caps and waiting lists (if any). (Section 2106(b)(7)) (42CFR 457.305(b)) Check here if this section does not apply to your state. There are no public notice state laws regarding enrollment caps and waiting lists in SCHIP. Due to insufficient state funds, ALL Kids initiated a waiting list beginning with all new enrollees who would have had an effective date October 1, 2003. Public and enrollee notices about the waiting list were issued during the month of September 2003 prior to the impact of the waiting list. On August 23, 2004, ALL Kids reopened enrollment and discontinued use of the waiting list.

If during the year funds are not available at sufficient levels for coverage of all children to income levels described in Section 4.1.3 and funding is projected to be depleted before the end of the fiscal year, it is the State’s intent to place eligible children on a waiting list until adequate funding becomes available to resume enrollment. Alabama will provide public notice through press releases, written communication with stakeholders and stakeholder groups, presentations, and written communication from the program to all applicant families whose child(ren) is/are placed on the waiting list.

When a waiting list is implemented, the program has and will continue to receive new applications. These applications will be screened for Medicaid eligibility and then reviewed for ALL Kids eligibility. If a child appears, from the application form, to be eligible for Medicaid, the form will be sent to the Medicaid Agency. If a child appears not to be eligible for Medicaid or ALL Kids but eligible for the Alabama Child Caring Foundation, the form will be sent to that program. Each family whose child is placed on the waiting list will be notified, by letter, of this placement. The notification letter will also contain information stating that the parent may wish to contact Medicaid and/or the Alabama Child Caring Foundation if his situation changes and he believes that his child may be eligible for one of these programs. The letter will also notify the parent that any child on the waiting list is eligible for the Alabama Child Caring Foundation. The letter will further encourage the parent to request that ALL Kids send a copy of his child’s application to the Alabama Child Caring Foundation. If the child remains on the waiting list for longer than three (3) months, the family will be periodically notified via letter that the child’s name is still on the waiting list.

If the State is using a waiting list, children will be enrolled on ALL Kids from the waiting list on a first on–first off basis as funding permits. When attrition has lowered program enrollment to a level at which there are sufficient state funds to re-open enrollment, children will be removed from the waiting list ( on a first on first off basis) and enrolled in ALL Kids. Children who are removed from the waiting list whose application information is greater than 90 days old will be asked to complete a form updating changes in