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

Effective Date:

Approval Date: September 19, 2002 55 Assembly • Public input through the State’s Administrative Rules process • News coverage • Continued partnerships with advocacy groups such as Covering Kids Illinois • Ongoing relationship with KidCare Application Agents who are hospitals, Federally qualified health centers, local health departments, community based organizations, faith based organizations, WIC sites, Family Case Management agencies, Community Action agencies, Early Intervention agencies, Child Care Resource & Referral agencies, and licensed insurance agents • Input from the Medicaid Advisory Committee • Input from the State Medical Advisory Committee

9.9.1 Describe the process used by the state to ensure interaction with Indian Tribes and organizations in the state on the development and implementation of the procedures required in 42 CFR '457.125. (Section 2107(c)) (42CFR 457.120(c))

Only one Indian Health Care facility currently operates in Illinois. Pursuant to Section 1861 of the Social Security Act, this facility is recognized as a FQHC under the Department’s Title XIX program. Under KidCare, this facility will continue to operate as a fully integrated FQHC, providing primary care services itself and referrals for other services. The Department has consulted with this facility concerning KidCare outreach and enrollment strategies that are appropriate for reaching American Indian children.

9.9.2 For an amendment relating to eligibility or benefits (including cost sharing and enrollment procedures), please describe how and when prior public notice was provided as required in '457.65(b) through (d). Not applicable.