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

Effective Date:

Approval Date: 56 Health Choice in light of budget shortfalls. The calling of the NC Institute of Medicine to examine these issues was well publicized in the mass media. The deliberations of the NC IOM Task Force were publicized as were its findings and recommendations. Legislation evolved from these recommendations. Several bills were submitted to the NC General Assembly by their membership. Among the recommendations was a call to attempt to modify behavior among NCHC families by charging nominal amounts for generic drugs and greater amounts for brand drugs. This recommendation passed. Included on the Task Force were representatives of the major advocacy groups for children in the state. Once the legislation passed as part of the budget process of the NC General Assembly 2003 session (July, 2003), letters were sent to members informing them that this change would take place on February 1, 2004. The time was needed to reprogram computers so that we could assure that federally recognized Native Americans would not be charged any out-of-pocket costs. The state worked closely with the Eastern Band of the Cherokee and the Catawba to ensure that these citizens would not be charged out of pocket costs.

9.10. Provide a 1-year projected budget. A suggested financial form for the budget is attached. The budget must describe: (Section 2107(d)) (42CFR 457.140)

• Planned use of funds, including: - Projected amount to be spent on health services; - Projected amount to be spent on administrative costs, such as outreach, child health initiatives, and evaluation; and - Assumptions on which the budget is based, including cost per child and expected enrollment.

• Projected sources of non-Federal plan expenditures, including any requirements for cost sharing by enrollees.