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SOUTH DAKOTA TITLE XXI PROGRAM FACT SHEET

Name of Plan: Children’s Health Insurance Program, Non- Medicaid (CHIP-NM) and Medicaid Children’s Health Insurance Program (M-CHIP)

Date State Plan Submitted: June 5, 1998 Date State Plan Approved:

August 25, 1998 Date State Plan Effective:

July 1, 1998

Date Amendment #1 Submitted: June 28, 1999 Date Amendment #1 Approved: October 28, 1999 Date Amendment #1 Effective: April 1, 1999

Date Amendment #2 Submitted: September 1, 2000 Date Amendment #2 Approved: November 30, 2000 Date Amendment #2 Effective: July 1, 2000

Date Amendment #3 Submitted: September 1, 2000 Date Amendment #3 Approved: December 27, 2000 Date Amendment #3 Effective: July 1, 2000

Date Amendment #4 Submitted: July 1, 2002 Date Amendment #4 Approved: September 19, 2002

Background

• On June 5, 1998, South Dakota submitted a SCHIP Medicaid expansion proposal (M-CHIP). South Dakota’s existing Medicaid program covered children ages 0-5 in families with incomes up to 133 percent of the Federal poverty level (FPL) and children ages 6-18 in families with incomes up to 100 percent of FPL.

• Through title XXI, the State expanded Medicaid eligibility to cover children ages 6 -18 in families with incomes between 100 percent and 133 percent of the FPL. This resulted in seamless coverage for all children in families with incomes below 133 percent of the FPL.

Amendments

• South Dakota submitted its first state plan amendment on June 28, 1999, to expand Medicaid eligibility to cover children through age 18 with family incomes up to 140 percent of the FPL.

• South Dakota submitted its second amendment on September 1, 2000, to eliminate cost sharing in M-CHIP for 18-year-olds. Page 1 of 4