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4.1.6.

Disability Status (so long as any standard relating to disability status does not restrict eligibility):

4.1.7.

Access to or coverage under other health coverage:

(See Section 4.4.4)

4.1.8.

Duration of eligibility:

Children are re-certified for eligibility every 12 months. Changes in income, residence, and insurance status must be reported by the family within 10 days and may result in termination of eligibility for KCHIP. Children living in Partnership regions receive 6 months continuous eligibility, as provided by Kentucky’s 1115 waiver.

4.1.9.

Other standards (identify and describe):

The parent is requested to provide a social security number and is informed that it is not required if only applying for benefits for the child/ren. The application process is a joint process for Medicaid and KCHIP. A social security number is required for the applicant child consistent with 42 CFR 457.340(b).

4.2. The state assures that it has made the following findings with respect to the eligibility standards in its plan: (Section 2102)(b)(1)(B)) (42CFR 457.320(b))

4.2.1.

These standards do not discriminate on the basis of diagnosis.

4.2.2.

Within a defined group of covered targeted low-income children, these standards do not cover children of higher income families without covering children with a lower family income.

4.2.3.

These standards do not deny eligibility based on a child having a pre- existing medical condition.

4.3. Describe the methods of establishing eligibility and continuing enrollment. (Section 2102)(b)(2)) (42CFR 457.350)

KCHIP will rely on several features to establish eligibility and promote continuing enrollment. It is anticipated that the outreach effort of KCHIP and others will create a pool of potential eligible children (See Section 5). These children will include: • Children without insurance but Medicaid eligible, • Children without insurance but with family incomes higher than allowed under Medicaid, • Children whose insurance coverage has been terminated for reasons other than voluntary action by them or their parents, e.g., job loss, coverage changed, death of a