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4.1.4. 4.1.5. 4.1.6. 4.1.7. 4.1.8. Effective Date: November 1, 2009 November 1, 2009 November 1, 2009 Resources (including any standards relating to spend downs and disposition of resources): The insurance program has no resource requirements. Consistent with this approach, California will waive the resource Medicaid requirements for all children in the Federal Poverty Level program under Medi-Cal. The C-CHIP will also waive resource requirements consistent with other public programs. Residency (so long as residency requirement is not based on length of time in state): Children must be residents of California. They must also meet the citizenship and immigration status requirements applicable to Title XXI. Eligibles from confirmed pregnancy covered under the AIM Program must be residents of California. Eligibility for C-CHIP will require residency within the county that sponsors an expansion program and meet the citizenship and immigration status requirements applicable to Title XXI. Disability Status (so long as any standard relating to disability status does not restrict eligibility): Access to or coverage under other health coverage: Children are ineligible for the Healthy Families and C-CHIP insurance programs if they have been covered under employer sponsored coverage within the prior 3 months (with certain exceptions described in Section 4.4.4) or if they are eligible for (no cost) Medi-Cal or Medicare coverage. Duration of eligibility: • Presumptive eligibility begins on the first of the month in which a CHDP pre-enrollment application is completed, and continues for the following month. In addition, on going presumptive eligibility will continue for those children whose families submit a Healthy Families/Medi-Cal application to the State’s Single Point of Entry prior to the end of the second month of presumptive eligibility. For those families that submit the joint application prior to the end of the second month of presumptive eligibility, their children will continue to be presumptively eligible until a final eligibility determination is made. An annual eligibility determination for on going Healthy Families Approval Date: HFP Family Contribution Increase HFP Co-Payment Increase HFP Limited Dental Plan Choice for New Subscribers

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