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2 • Maine’s Medicaid program covers children from birth through 12 months with family income up to and including 185 percent of the FPL, children aged 1 through 5 in families with income up to and including 133 percent of the FPL, and children aged 6 through 18 in families with income up to and including 125 percent of the FPL.

Amendments

• On January 5, 2000, Maine submitted a state plan amendment to further expand the State’s separate child health program to cover children from birth through age 18 in families with incomes above 185 percent up to and including 200 percent of the FPL. The amendment also removes cost sharing for American Indian and Alaska Native children.

• Maine submitted its second amendment on April 5, 2001, to expand the benefit package provided under the State’s title XXI program by adding hospice services.

• Maine submitted its third amendment on June 28, 2002. This amendment updates and amends the CHIP state plan to indicate the State's compliance with the final CHIP regulations. This amendment also extends Maine’s continuous eligibility period from 6 months to 12 months.

• Maine submitted its fourth amendment on January 9, 2003. This amendment implements health services initiatives (HSI) under the State’s 10 percent administrative cap.

The State’s health services initiatives are activities sponsored by the State’s Bureau of Health under the Partnership for a Tobacco-Free Maine. Specific health services initiatives may include the following:

o Grants to providers to promote health education in schools implementing a school health program that incorporates guidelines for tobacco use, physical activity, and healthy eating and educates on the use of health care. o Grants for conducting outreach campaigns to promote community based pregnancy prevention projects and to promote family planning among adolescents where the providers support family life education programs for schools and communities, including education about abstinence and information on preventing sexually transmitted diseases and birth control. o Grants for media health campaign directed at discouraging children and adolescents from purchasing tobacco products.

• Maine submitted its fifth amendment on October 6, 2004. This amendment increases premiums for children living in families with income above 150 percent up to and including 200 percent of the FPL (separate child health program).