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Effective Date:

Approval Date:

Updated and amended effective August 24, 2001

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4.4.4.4. If the state provides coverage under a premium assistance program, describe:

The minimum period without coverage under a group health plan, including any allowable exceptions to the waiting period.

The minimum employer contribution.

The cost-effectiveness determination.

4.4.5 Child health assistance is provided to targeted low-income children in the state who are American Indian and Alaska Native. (Section 2102)(b)(3)(D)) (42 CFR 457.125(a))

Pennsylvania does not have any American Indian tribes recognized by the Federal or State government. However, outreach and enrollment strategies outlined in Section 5 include all children, including American Indians and Alaska Natives.

The application form requests information regarding the applicant’s racial and ethnic identity, including whether the child is an American Indian or Alaska Native. This information is collected and reported as required.

See Appendix C