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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 60 Families who do not pay their monthly premium on time will be disenrolled from coverage and will not be eligible for reinstatement for a minimum of 60 days, in accordance with state law. Effective July 1, 2009, children disenrolled due to voluntary non-payment of premium will be eligible for reinstatement after 30 days. The following chart shows the minimum waiting period for cancellation due to non- payment of premium since the inception of the Florida KidCare program. New legislation effective July 1, 2004, does allow for transfers among the KidCare program components so long as space and funding are available. The programs are directed to establish reserves so these transfers can be managed within existing funding. Florida will notify the federal Centers for Medicare and Medicaid (CMS) in the event that transfers are no longer allowed between programs. We do not anticipate the need for this to occur. Enrollee Status Transfer to Title XXI Coverage New Applicants – Enrollment ceiling not reached Yes New Applicants – Enrollment ceiling reached No Current Title XXI Enrollee Transferring to New Title XXI Component Yes Current Medicaid Expansion Under 1 Year Old – Turning 1 Year Old and Losing Medicaid Eligibility Yes Current Title XIX Under 1 Year Old – turning 1 Year Old and Losing Title XIX Eligibility Yes Current Title XIX losing Title XIX Eligibility Yes Title XIX CMSN Eligible Losing Title XIX Eligibility & Transferring to Title XXI CMSN Yes Current Title XXI Enrollee who Misses a Premium Payment Yes (after 30 days) Previous Title XXI Enrollee with a break in Coverage Due to Reason Other than Non-Payment of premium Yes