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Model Application Template for the State Children’s Health Insurance Program
Effective Date:
Approval Date: September 19, 2002 14 203(a)(7) of the Immigration and Nationality Act as in effect prior to April 1, 1980, 6) Persons lawfully admitted for permanent residence under the Immigration and Nationality Act, or 7) Parolees, for at least one year, under Section 212(d)(5) of the Immigration and Nationality Act.
A child in categories (6) or (7) above, who enters the United States on or after August 22, 1996, is not eligible for five years beginning on the date of entry into the United States.
4.1.6.
Disability Status (so long as any standard relating to disability status does not restrict eligibility): 4.1.7.
Access to or coverage under other health coverage: Eligibility for benefits will require that: 1) The child is not a member of a family that is eligible for health benefits covered under the State of Illinois health benefits plan on the basis of a member’s employment with a public agency; 2) The child is not found to be eligible for Medicaid under Title XIX.
4.1.8.
Duration of eligibility: The duration of eligibility will be for 12 months unless terminated for one of the reasons described below. The twelve months of eligibility commences when the first child in a household is determined to be eligible, not when an additional child is added. Eligibility is determined at least every 12 months. Eligibility is terminated if; 1. The child loses his or her Illinois residency, 2. The child attains 19 years of age 3. The child becomes eligible for and is enrolled in Medicaid under Title XIX, 4. The child becomes an inmate of a correctional facility or a patient in a mental institution, 5. The child’s family becomes eligible for health benefits coverage under a State of Illinois health benefits plan on the basis of a member’s employment with a public agency, 6. The child is found to have other significant health benefits, 7. Applicable premium payments are not made, or 8. The child’s parent or adult who is legally responsible