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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: Section 2 General Background and Description of State Approach to Child Health Coverage and Coordination (Section 2102 (a) (1)-(3)) and (Section 2105) (c) (7) (A)-(B))

2.1. Describe the extent to which, and manner in which, children in the state including targeted low-income children and other classes of children, by income level and other relevant factors, such as race and ethnicity and geographic location, currently have creditable health coverage (as defined in 42 CFR 457.10). To the extent feasible, make a distinction between creditable coverage under public health insurance programs and public-private partnerships (See Section 10 for annual report requirements). (42 CFR 457.80(a))

The table below provides information from the Kaiser State Health Facts website regarding general population characteristics. This information can be used to establish a general understanding of the current environment in the State of Indiana. Kaiser State Health Facts (2007) for State of Indiana Description Number Total Children 0-18 1,685,904 Total Children 0-18 w/o Health Insurance 113,581 Total Children 0-18 Below 574,010

The table below provides information from the State of Indiana regarding the populations currently being served by Indiana Medicaid. It should be noted that MCHIP refers to the portion of the CHIP population funded via Medicaid funding and CHIP refers to the CHIP population not funded via Medicaid funding. It should also be noted that many of the State’s children are served in non-CHIP program areas. The information below can be used to establish a general understanding of the current environment in the State of Indiana. State of Indiana (January 2009) Description Number Total Children 0-18 Enrolled in Medicaid 550,971 Total Children 0-18 Enrolled in Care Select 26,989 Total Children 0-18 Enrolled in Hoosier Healthwise 479,303 Total Children 0-18 Enrolled in MCHIP (Enrolled in Hoosier Healthwise) 51,008 Total Children 0-18 Enrolled in CHIP (Enrolled in Hoosier Healthwise) 18,351

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))

Public health insurance in Indiana is provided via the Medicaid program. CHIP enrollees are enrolled in the Hoosier Healthwise program. Children eligible for the Medicaid expansion component (referred to specifically as MCHIP) are enrolled in Hoosier Healthwise under Benefit Package A. Those eligible for the State-designed component of Indiana’s CHIP program (referred to as the CHIP population) are enrolled in Hoosier Healthwise under Benefit Package C.

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):