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5 certain vision benefits, apply a wait list, and remove the 6-month residency requirement for pregnant women in the Access for Infants and Mothers program.

• A sixteenth amendment was submitted by the State on October 16, 2009, to implement a health services initiative to support the California Poison Control System (CPSC).

• A seventeenth amendment was submitted by the State on December 24, 2009 to increase premiums and co-payments for children with a family income above 150 percent up to and including 250 percent of the FPL. The amendment also proposes to limit dental plan choices for new subscribers. These changes are based on changes in State law.

Children Covered Under the Program The State reported that a total number of 1.75 million children were ever enrolled in the program during Federal fiscal year 2009.

Administration • California uses the Managed Risk Medical Insurance Board (MRMIB) as the oversight agency for the Healthy Families Program. Administrative duties for this program are contracted through Maximus, a private vendor. The MRMIB also administers the AIM program.

• The Department of Health Services is responsible for outreach and health care services administered through the Medicaid delivery system.

Health Care Delivery System • Delivery of health services to Healthy Families members is through managed care organizations. Most of the participating plans are HMOs. The delivery system for the AIM program is virtually identical to that of Healthy Families, with nine health care service plans participating, providing statewide coverage.

• To assure that health care providers currently serving low-income families are given the opportunity to participate in the program, MRMIB encourages private managed care plans to subcontract with safety net providers by allowing the health plan (known as the Community Provider Plan) in each county that has the highest percentage of traditional and safety net providers in its provider network to charge a discounted premium; by allowing County Organized Health Systems and local initiatives to participate; and by giving priority in awarding contracts to plans with significant numbers of providers who serve uninsured children.