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• Make eligible for Medi-Cal at 100% or less of FPL, children under age 19 who were born before September 30, 1983 (children age 14-19). This means that children aged 6-19 will be eligible at 100% or less of FPL. Funding for children who meet the criteria above who are uninsured will be funded by Title XXI while funding for children with private coverage will be by Title XIX. The delivery system for targeted low income children served by Medi-Cal will be consistent with the existing Title XIX state plan. The appropriate Title XIX state plan amendments are included with this proposal. See Attachment 4. ACCESS FOR INFANTS AND MOTHERS (AIM) PROGRAM The AIM program provides creditable coverage to pregnant women (who do not qualify for no-cost Medi-Cal) with incomes between 200 percent and 300 percent of FPL and their newborn children (if the woman was enrolled in AIM prior to July 1, 2004) through the first two years of life. Eligibles from confirmed pregnancy through birth will receive coverage through the AIM program. AIM is administered by MRMIB, which contracts with the private sector to provide subsidized coverage for beneficiaries. Because Medi-Cal currently serves infants under 1 year of age through 200 percent of FPL, infants through age 1 up to 250 percent of poverty served by AIM fall within the income range of targeted low income children. Consistent with the C-CHIP projects, the same income disregards will be applied to children born to mothers enrolled in AIM through age 2. AIM’s delivery system and contracting standards are virtually identical to that of Healthy Families’ purchasing pool described above. Nine health care service plans participate in AIM, which offers statewide coverage, and the vast majority of all beneficiaries are offered a choice of two plans in each region (three in Los Angeles County). MEDI-CAL The Medi-Cal Program, administered by the California Department of Health Services, provides services through contracts with various health plans as well as a fee for service environment with payments made directly to providers of service. Eligibles from confirmed pregnancy through birth in households with incomes at or below 200 percent of FPL who are not eligible for federally funded non-emergency services will receive coverage through the Medi-Cal Program. Effective Date: Approval Date: November 1, 2009 HFP Family Contribution Increase November 1, 2009 HFP Co-Payment Increase November 1, 2009 HFP Limited Dental Plan Choice for New Subscribers

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