Page 2
• The State submitted its third amendment on April 2, 2004, to add coverage for unborn children with family incomes up to and including 200 percent of the FPL who are not otherwise eligible for Medicaid. Coverage is under a separate child health program and will include prenatal care and associated health services for children from conception through birth. This amendment also removes the State’s separate child health program that was approved with the second amendment (but not implemented) and updates the State plan to indicate compliance with the final SCHIP regulations.
Children Covered Under Program
• The State reported that 1,912 children were ever enrolled in the program during Federal fiscal year 2002.
Administration
• The Division of Medical Services, the single State agency, administers the program.
Health Care Delivery System
• The delivery system is the same for Medicaid and SCHIP. This system is a primary care case management program called ConnectCare.
Benefit Package
• Children in the SCHIP Medicaid expansion program receive the ARKids B Medicaid section 1115 demonstration benefit package.
• The Medicaid benefit package is provided to unborn children.
Cost Sharing
• Children enrolled in the SCHIP Medicaid expansion program pay the ARKids B Medicaid section 1115 demonstration cost sharing: copayments are required for prescription drugs ($5), office visits other than well-child visits ($10), durable medical equipment (20 percent of the Medicaid-allowed amount) and the first inpatient day (20 percent of the Medicaid per diem cost).
• There is no cost sharing for unborn children.
Outreach Activities
• The State has a contract with Arkansas Advocates for Children and Families to conduct a targeted outreach campaign. This organization provides information, training, and materials to grassroots organizations that are in daily contact with the targeted population.
Page 2 of 3