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Premium level 2) has a $10 copayment for medical visits, a $3 copayment for generic and $7 copayment for brand-name prescriptions and a $100 copayment per inpatient hospital admission, $30 per emergency room visit and 5 percent of the All Kids payment rate for outpatient hospital services. A family with an income above 300 percent through 400 percent of the FPL (All Kids Premium level 3) has a $15 copayment for medical visits, a $6 copayment for generic and $14 copayment for brand-name prescriptions and a $150 copayment per inpatient hospital admission, $50 per emergency room visit and 10 percent of the All Kids payment rate for outpatient hospital services. The cost-sharing cap is $750 per child. A family with an income above 400 percent through 500 percent of the FPL (All Kids Premium level 4) has a $20 copayment for medical visits, a $9 copayment for generic and $21 copayment for brand-name prescriptions and a $200 copayment per inpatient hospital admission, $75 per emergency room visit and 15 percent of the All Kids payment rate for outpatient hospital services. The cost-sharing cap is $1,000 per child.

• The State has adopted the "shoe-box" approach to reimburse families who exceed the copayment limit. The State updates the medical card to reflect that they have reached the limit. Designations are made in data systems to reflect that the maximum has been met.

• Unborn children are exempt from cost sharing.

Coordination Between CHIP and Medicaid

The State uses a joint application for all All Kids programs. The simplified applications are screened for Medicaid eligibility and the presence of health insurance coverage. If the applicant is not Medicaid eligible, All Kids Share or All Kids Premium eligibility is determined.

Crowd-Out Strategy

The State will monitor the effect of All Kids on private insurers and modify the program if it appears that, because of availability of All Kids Share and All Kids Premium, persons or employers are inappropriately dropping privately funded coverage.

Outreach

• The State utilizes various measures to encourage eligible children to enroll, utilize and stay in the program. These measures include media campaigns involving radio, print and promotional advertising; establish educational partnerships, especially with Chicago Public Schools, to assist in promoting public awareness and assist with enrollment; establish strong community outreach through employers, churches and other community- based organizations.

• In addition to the above outreach efforts, the Department contracts with All Kids Application Agents statewide to perform the following functions: