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

Effective Date:

Approval Date: September 19, 2002 8 and,

5) with access to dependent coverage through an employer and enrolled.

The study shall also attempt to determine, for the population of children potentially eligible for coverage under KidCare:

1) the extent of access to dependent coverage;

2) the extent to which children are enrolled in private coverage; and 3) the amount of cost sharing related to such coverage.

Upon completion of this study, more accurate estimates will be available.

The State estimates that 20,000 children with income between 185% and 200% FPL will be eligible as a result of the fourth amendment to the Title XXI plan.

2.2. Describe the current state efforts to provide or obtain creditable health coverage for uncovered children by addressing: (Section 2102)(a)(2) (42CFR 457.80(b))

2.2.1. The steps the state is currently taking to identify and enroll all uncovered children who are eligible to participate in public health insurance programs (i.e. Medicaid and state-only child health insurance):

Outreach to low income children and pregnant women for the Medicaid program is conducted the the State’s Maternal and Child Health (Title V) program in the Illinois Department of Human Services. The Family Case Management program conducts outreach and case management activities for low-income families that include a pregnant woman, infant or young child. Medicaid matching funds are claimed for outreach activities and for case management activities conducted with Medicaid-eligible families for Medicaid-covered services. The program has been operating since 1986 and has been a Medicaid-MCH partnership since 1990. The program’s current budget is $45.7 million, of which $4.1 million is used for outreach activities.

Family Case Management activities are carried out by local agencies: local health departments, community health centers, other FQHCs and other community-based organizations.