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Effective Date: April 1, 2009

Approval Date: ____________ 4

Race and Ethnicity

American Indian or Alaskan Native 6,390 0 0 0 Asian or Pacific Islander 117,218 2,491 13,239 5,706 Black, not of Hispanic origin 127,197 7,268 67,293 16,804 Hispanic 148,701 8,330 84,896 63,167 White, not of Hispanic origin 1,086,257 84,792 57,140 162,945

* Includes Champus/TriCare and Medicare

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):

New Jersey has taken a wide variety of steps to identify and enroll all uncovered children who are eligible to participate in public health insurance programs such as Medicaid and NJ FamilyCare. Fundamental to this effort are the existing providers and social services network. Providers likely to come in contact with low-income uninsured individuals, such as hospitals and federally-qualified health centers, are aware of the Medicaid/NJ FamilyCare eligibility standards and refer children to the appropriate eligibility determination entity (county boards of social services and the state health benefits coordinator). Additionally, eligibility workers are outstationed in hospitals and Federally Qualified Health Centers (FQHCs) in order to take on-site applications for potentially eligible individuals, using the expedited presumptive eligibility process.

Public health agencies are another important source of outreach and information for potentially eligible children. Staff at programs run by WIC, HeadStart and local health departments are familiar with Medicaid/NJ FamilyCare eligibility requirements and screen their clients accordingly. Programs such as Healthy Mothers, Healthy Babies send outreach workers into the community in attempts to assist pregnant women and children in getting necessary health care services. Additional methods used follow.

Application Process: The eligibility and enrollment process is now simpler and