Page 60

Official source

Missouri Application for the State Children’s Health Insurance Program Proposed Effective Date: 05/01/2009 Approval Date:

Prior Approval Date: 09/28/2007 - 27B - existing conditions and exclusions to enrollment and lifetime maximum benefits imposed, with the services to which the individual is entitled under the MO HealthNet Program. Coverage of services not provided under the Group Health Plan, but to which the individual is entitled under the MO HealthNet Program, are provided under MO HealthNet as wrap-around services. 6.4.2.2 The State assures that the family coverage would not otherwise substitute for health insurance coverage that would be provided to such children but for the purchase of family coverage. (Section 2105(c)(3)(B)) (42 CFR 457.1010(b)) 6.4.2.3 The State assures that the coverage for the family otherwise meets title XXI requirements. (42 CFR 457.1010(c))

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Page 60

Official source

Missouri Application for the State Children’s Health Insurance Program Proposed Effective Date: 05/01/2009 Approval Date:

Prior Approval Date: 09/28/2007 - 27B - existing conditions and exclusions to enrollment and lifetime maximum benefits imposed, with the services to which the individual is entitled under the MO HealthNet Program. Coverage of services not provided under the Group Health Plan, but to which the individual is entitled under the MO HealthNet Program, are provided under MO HealthNet as wrap-around services. 6.4.2.2 The State assures that the family coverage would not otherwise substitute for health insurance coverage that would be provided to such children but for the purchase of family coverage. (Section 2105(c)(3)(B)) (42 CFR 457.1010(b)) 6.4.2.3 The State assures that the coverage for the family otherwise meets title XXI requirements. (42 CFR 457.1010(c))