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Background

• On April 17, 1998, Indiana submitted a title XXI State Plan to expand Medicaid eligibility to children under the state's Medicaid title XIX State Plan. Under Phase 1, the State expanded Medicaid eligibility to include:

- Effective October 1, 1997, children born before October 1, 1983, from the ages of 14 through 18 in families with annual incomes through 100 percent of the Federal Poverty Level (FPL).

- Effective July 1, 1998, children ages 0 through 18 in families with annual incomes through 150 percent of the FPL.

• Indiana's current Medicaid State Plan covers infants through 150 percent of the FPL, children under 6 through 133 percent of the FPL, and children 6 through 18 through 100 percent of the FPL.

Amendments

• On September 22, 1999, Indiana submitted an amendment to expand health insurance coverage through a separate child health program. This Phase II amendment will provide coverage to children less than 19 years of age in families with annual incomes greater than 150 percent of the FPL and not more than 200 percent of the FPL.

• Indiana submitted its second amendment on September 9, 2002, to update its State Children’s Health Insurance Program (SCHIP) state plan to indicate compliance with the final SCHIP regulations. This amendment also revises the redetermination process so that children remain eligible as long as they meet income and other eligibility requirements. Eligibility is redetermined at 12 months if SCHIP is the only State program the child is enrolled in, or every 3 to 6 months if the child is enrolled in SCHIP plus other state programs.

• Indiana submitted its third amendment on August 24, 2004, to fund clinical messaging software and data repository development for their proposed Information Exchange (IHIE) health services initiative. This amendment was withdrawn on May 30, 2006.

• Indiana submitted its fourth amendment on October 4, 2005, to increase monthly premiums for families with incomes above 150 percent to 200 percent of the FPL. This will double the premium previously paid by families.

• Indiana submitted its fifth amendment on September 27, 2007, a contingency plan, to move the SCHIP separate program in its current form to the Medicaid expansion program. The State withdrew the amendment on October 15, 2007.

• Indiana submitted its sixth amendment on January 31, 2008 to increase the income limit to 250% FPL and associated premiums, implement 12 month continuous eligibility for