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

Effective Date:

5

Approval Date:

Amendment 4: Premium Increase  Submitted:

October 4, 2005  Approved:

June 23, 2006  Effective:

October 1, 2005

Amendment 5: Contingency plan  Withdrawn:

October 15, 2007

Amendment 6: Income Eligibility Increase, Removal of Premium Signature Requirement, Addition of Telemedicine Services, Addition of continuous eligibility for children under age three  Approved:

January 1, 2008  Effective:

October 1, 2008

Amendment 7: Income Eligibility Increase to 300%  Submitted:

September 13, 2009  Approved:  Effective:

July 1, 2010