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State Children’s Health Insurance Program

Phase 1 Effective Date: April 1, 1998

Revised: 1/26/98, 2/19/98, 3/3/98, 3/6/98 Phase 2 Effective Date: July 1, 1998

Revised: 8/20/98, 8/24/98, 10/1/99, 7/28/00, 1/31/01, 7/02/02, 7/22/02, 1/3/03, 2/13/04, 9/27/04, 11/15/04, 8/11/05, 10/1/06, 7/1/09, 7/1/10, 7/1/11, 7/1/12 41 Section 4. Eligibility Standards and Methodology. (Section 2102(b))

 Check here if the state elects to use funds provided under Title XXI only to provide expanded eligibility under the state’s Medicaid plan, and continue on to Section 5.

4.0 Medicaid Expansion

4.0.1 Ages of each eligibility group and the income standard for that group:

Children ages 0 to 1 year of age with income from 186% FPL to 200% FPL.

4.1. Separate Program

The following standards may be used to determine eligibility of targeted low-income children for child health assistance under the plan. Please note whether any of the following standards are used and check all that apply. If applicable, describe the criteria that will be used to apply the standard. (Section 2102)(b)(1)(A)) (42CFR 457.305(a) and 457.320(a))

4.1.0  Describe how the State meets the citizenship verification requirements.

Include whether or not State has opted to use SSA verification option.

All applicants are provided a reasonable opportunity to provide documentary proof of citizenship or immigration status. All applicants have up to 120 days to meet all of the eligibility requirements and documentation, including citizenship and identity documentation and immigration status. During the 120 day period, if an applicant meets all other eligibility requirements, the applicant is provided a reasonable opportunity period to provide the outstanding citizenship and immigration documentation. When a determination is made that the applicant is otherwise eligible, the applicant is enrolled the following month. Enrollment for any eligible applicant begins the month following the eligibility determination. Coverage is not denied, delayed, or reduced during this reasonable opportunity period. If the applicant does not provide the citizenship or immigration documentation by the end of the 120 days, the applicant is terminated and coverage is discontinued effective the following month.

Children who are initially eligible for Medicaid as a “deemed newborn” will not have to provide citizenship documentation as deemed newborns are considered to have provided satisfactory documentation of citizenship and identity. Medicaid citizenship eligibility determinations will be considered acceptable proof of citizenship for Title XXI eligibility determinations. When a “deemed newborn” loses Medicaid eligibility, the information that Medicaid determined citizenship is included on the Medicaid