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Effective Date: April 1, 2009
Approval Date: ____________ 3
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))
The descriptions contained in this section are related to the State Child Health Insurance Program only. Section 2 does not contain information related to New Jersey's 1115 demonstration.
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))
The chart below describes the extent to which children in New Jersey currently have creditable coverage. The data for the number of children with employer- related group coverage, with other/non-group coverage and Medicaid coverage, as well as the number of uninsured children, is based on the March 1996 Current Population Survey (CPS) data for 1995. While there are some known deficiencies with CPS data, it does provide for the most consistency at this time. The CPS data will be updated based on the March 2002 CPS.
Attributes of Population Children in Employer-related group Coverage Children with other/non-group coverage* Medicaid- enrolled children Uninsured children Income Level
< 100% 29,987 23,537 143,357 67,749 < 133% 48,876 3,804 22,974 37,989 < 185% 82,882 19,773 23,890 43,692 < 200% 22,885 7,228 0 8,562 > 200% 1,301,132 48,539 32,348 90,630 Age
0 - 1 80,606 5,433 7,311 19,160 1 - 5 451,865 13,808 53,041 88,418 6 - 12 555,381 31,905 77,599 72,982 13 - 18 397,910 51,736 84,618 68,062