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Model Application Template for the State Children’s Health Insurance Program

Effective Date:

4 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))

Currently, no public-private partnerships exist in Maine.

Between October-December 2002, the University of Southern Maine, Muskie School of Public Service conducted a random survey of Maine residents to estimate the numbers of individuals without health insurance or with inadequate insurance. At the time of the survey, about 60% of children had employer based coverage and 5% had coverage through individually purchased health plans. About 28% had public coverage (primarily MaineCare) and about 8% were uninsured.

According to the 2001-2003 Current Population Survey, uninsured children under age 19 below 200% of poverty as a percent of total children under age 19 is 3.6%.

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))

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):

Please see Section 5 for a description of outreach efforts.

2.2.2. The steps the state is currently taking to identify and enroll all uncovered children who are eligible to participate in health insurance programs that involve a public-private partnership:

No public-private partnerships currently exist in Maine.