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Model Application Template for the State Children’s Health Insurance Program

Effective Date:

Approval Date: September 19, 2002 4 Effective Date Phase I: 1/5/98 Effective Date Phase II: 8/12/98

Effective Date Amendment (Elimination of 3-month waiting period): 7/1/02

Effective Date Amendment #3 (unborn children): 1/1/03

Effective Date Amendment #4 (eligibility to 200%): 7/1/03 Implementation Date Phase I: 1/1/98 Implementation Date Phase II: 10/1/98 Implementation Date Amendment (Elimination of 3-month waiting period): 7/1/02 Implementation Date Amendment #3 (unborn children): 1/1/03 Implementation Date Amendment #4 (eligibility to 200%): 7/1/03

Section 2. General Background and Description of State Approach to Child Health Coverage and Coordination (Section 2102 (a)(1)-(3)) and (Section 2105)(c)(7)(A)-(B))

2.1. Describe the extent to which, and manner in which, children in the state including targeted low-income children and other classes of children, by income level and other relevant factors, such as race and ethnicity and geographic location, currently have creditable health coverage (as defined in 42 CFR 457.10). To the extent feasible, make a distinction between creditable coverage under public health insurance programs and public-private partnerships (See Section 10 for annual report requirements). (42 CFR 457.80(a))

Illinois has chosen to target children who are under the age of 19 and who are from families with incomes at or below 133 percent of the federal poverty level (FPL). Health benefits coverage will be provided to these children through a Medicaid expansion that will cover children who are between ages 0 and 19 and who are from families with incomes above the March 31, 1997 Medicaid eligibility standard and at or below 133 percent of the FPL. The expansion will serve an additional 40,400 children. Illinois will implement this expansion on January 5, 1998.