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Application for the State of Indiana Children’s Health Insurance Program Amendment #7

Effective Date:

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Approval Date: TABLE OF CONTENTS

Section 1. General Description and Purpose ............................................................... 4 Section 2. General Background and Description of State Approach ........................... 6 Section 3. Methods of Delivery and Utilization Controls ............................................. 10 Section 4. Eligibility Standards and Methodology ....................................................... 12 Section 5. Outreach .................................................................................................... 19 Section 6. Coverage Requirements for Children’s Health Insurance ......................... 20 Section 7. Quality and Appropriateness of Care ....................................................... 24 Section 8. Cost Sharing and ....................................................................................... 28 Section 9. Strategic Objectives and Performance Goals and Plan Administration ... 33 Section 10. Annual Reports and .................................................................................. 41 Section 11. Program Integrity ....................................................................................... 42 Section 12. Applicant and Enrollee Protections ........................................................... 43