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Effective Date: November 1, 2009 November 1, 2009 November 1, 2009 MRMIB will monitor applications to determine whether employers or employees have dropped coverage to participate in the program. Specific monitoring strategies that the Board will consider include the use of a third party evaluator, and subscriber or employer surveys to measure the extent to which crowd-out has occurred. COUNTY CHILDREN’S HEALTH INSURANCE PROGRAM (C-CHIP) The C-CHIP projects will adopt the same provisions as the Healthy Families Program to minimize the potential for employers or individual employees to drop their current dependent coverage to take advantage of subsidized coverage. 4.4.4.1. Coverage provided to children in families at or below 200% FPL: describe the methods of monitoring substitution. 4.4.4.2. Coverage provided to children in families over 200% and up to 250% FPL: describe how substitution is monitored and identify specific strategies to limit substitution if levels become unacceptable. 4.4.4.3. Coverage provided to children in families above 250% FPL: describe how substitution is monitored and identify specific strategies in place to prevent substitution. This is not an issue for infants born to mothers enrolled in the AIM Program as those infants would not have previously had employer sponsored coverage. COUNTY CHILDREN’S HEALTH INSURANCE PROGRAM (C-CHIP) One of the Healthy Families eligibility rules used in the C-CHIP projects is that a child cannot have had employer sponsored insurance within the past 90 days. This question is asked on the application. In addition because there is only one health plan available within each of the four counties, the health plan Approval Date: HFP Family Contribution Increase HFP Co-Payment Increase HFP Limited Dental Plan Choice for New Subscribers

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