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MRG UPDATED: JANUARY 2011 65 CATEGORICAL FACTORS FAMILY HEALTH PLUS (FHPlus) and FAMILY HEALTH PLUS PREMIUM ASSISTANCE PROGRAM (FHP-PAP) Policy: Applicants who meet the following criteria may be eligible for FHPlus:  are age 19 through 64,  are New York State residents,  meet certain citizenship/alien status requirements,  are ineligible for Medicaid based on income,  meet certain income requirements, and  are not employees or family members who are federal employees who are eligible for and have access to employer- sponsored health coverage. NOTE: Temporary or part-time public employees who are ineligible for employer-sponsored coverage may, if otherwise eligible, receive Family Health Plus. NOTE: Effective September 1, 2010, otherwise eligible employees of the State, county, municipal governments, as well as public school districts may enroll in Family Health Plus or the Family Health Plus Premium Assistance Program. The majority of Medicaid eligibility standards and rules apply for FHPlus applicants; however, there are several differences such as a higher income level. Photo ID requirements do not apply to FHPlus. Before eligibility for Family Health Plus can be established, the A/R must select a health plan. To avoid gaps in coverage in instances when the A/R changes from Medicaid eligibility to Family Health Plus eligibility, a daily benefit-package flip process will be applied in all local departments of social services. Every month, on the Monday prior to the monthly primary pulldown, a systemic identification of current recipients authorized for Family Health Plus who are not enrolled in a health plan for the following month will be reported to the district on a Potential FHP Auto Assignment Report. On the Wednesday prior to the monthly pulldown, the recipient will be auto-assigned to a FHPlus plan for the first of the following month. Auto-assignments are done based on the following criteria:  If the recipient has a history of enrollment within the past year with a Medicaid Managed Care or FHPlus quality plan, the individual will be assigned to that plan;  If only one FHPlus plan operates in the district, the individual will be assigned to that plan;