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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 63 determine if the maintenance of agency contribution has continued.

Appendix E contains the maintenance of agency contribution calculations chart which will be updated annually to ensure continued compliance with the maintenance of agency contribution requirement.

The Medicaid application and enrollment process is initiated and facilitated for children found through the screening to be potentially eligible for medical assistance under the state Medicaid plan under Title XIX. (Section 2102)(b)(3)(B)) (42CFR 457.350(a)(2)) All children who apply to the Florida KidCare program and who appear to be Title XIX eligible based on the Medicaid screening, will be referred to the Department of Children and Families for a full Medicaid eligibility determination. Those who are determined to be Medicaid-eligible will be enrolled in the Medicaid program. The Medicaid screening tool: • Counts only the natural parent's income. • Counts Social Security benefits. • Disregards child support paid by parents as child support for children living outside of the home. • Does not count stepparents in the filing unit. • Does not count children's earned income, if in school. • Deducts $90 for each member with earned income. • Deducts a maximum of $200 childcare expense for children under 2, a maximum of $175 for children over 2. • Deducts $50 if child support is received. (see Appendix A for a more detailed description of the Medicaid screening criteria). 4.4.3. The State is taking steps to assist in the enrollment in SCHIP of children determined ineligible for Medicaid. (Sections 2102(a)(1) and (2) and 2102(c)(2)) (42CFR 431.636(b)(4)) Children found ineligible for Title XIX will be processed for coverage in the appropriate Florida KidCare program component (MediKids, Healthy Kids, or the CMSN). If the application was received after the enrollment ceiling has been reached and applications for the Title XXI programs are not accepted, the family will be so advised and informed that they should re-apply or call to re- activate their application during the next open enrollment period.