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3 2. Expanded the state program, Access for Infants and Mothers (AIM), through a separate child health program, for infants up to age 1 from 200 to 250 percent of FPL; and 3. A separate child health insurance program, Healthy Families, which provides coverage of children from ages 1 through 19 with family incomes from 100 to 200 percent of the FPL.

• The State implemented the Medicaid expansion CHIP program on March 1, 1998, and the separate child health CHIP program on July 1, 1998.

Amendments • The State submitted its first amendment on April 14, 1998, changing its income eligibility for the Healthy Families Program to be in compliance with the State enabling legislation. This amendment lowered income eligibility from 200 percent of the FPL net income to 200 percent of the FPL gross income. This amendment was initiated at the start of the program's implementation on July 1, 1998.

• A second amendment was submitted by the State on January 8, 1999. This amendment increases the enrollment broker fees from $25 to $50 per successful applicant.

• A third amendment was submitted by the State on August 3, 1999, and approved on November 23, 1999. The amendment expanded income eligibility for the Healthy Families Program by disregarding income between 200 to 250 percent of the FPL. Income eligibility for the Healthy Families Program is further expanded by applying Medi-Cal income deductions when determining eligibility for the Healthy Families Program. The Child Health and Disability Prevention (CHDP) provider-claiming period for services received prior to enrollment is also lengthened from 30 to 90 days.

• A fourth amendment was submitted by the State on December 9, 1999, and approved on March 6, 2000. This amendment allows a Family Contribution Sponsor to pay a specific child's Healthy Families Program (HFP) premiums for the first year of enrollment.

• A fifth amendment was submitted by the State on April 17, 2000. This amendment exempts cost sharing for American Indians (AI) and Alaskan Native (AN) children who meet the eligibility criteria for the Healthy Families Program (HFP) and provide acceptable documentation of their status as AI or AN children.

• A sixth amendment was submitted by the State on July 2, 2002. This amendment amends the SCHIP State plan to indicate the State’s partial compliance with the final SCHIP regulations.

• A seventh amendment was submitted by the State on April 1, 2003. This amendment expands coverage levels to 300 percent of the FPL for children residing in selected counties (Alameda, San Francisco, San Mateo and Santa Clara) through the County Children’s Health Insurance Program (C-CHIP). This amendment also expands coverage to children up to age 2 born to mothers enrolled in the AIM program with family incomes up to 300 percent of the FPL.