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TENNESSEE TITLE XXI STATE PLAN FACT SHEET

Name of Plan: Phase I: October 1997—September 2002 CoverKids—June 2006

Date Plan Submitted:

January 2, 1998 Date Plan Approved:

Withdrawn March 16, 2007

Date Amendment #1 Submitted: July 7, 1999 Date Amendment #1 Approved: September 3, 1999 Date Amendment #1 Effective: October 1, 1997

Date Amendment #2 Submitted: September 6, 2006 Date Amendment #2 Approved: January 18, 2007 Date Amendment #2 Effective: June 9, 2006

Date Amendment #3 Submitted: July 17, 2007 Date Amendment #3 Approved: October 3, 2007 Date Amendment #3 Effective: October 1, 2007

Background: • Phase I: On July 7, 1999, Tennessee submitted a Title XXI plan to provide expanded Medicaid eligibility to children born before October 1, 1983, who are under age 19 with family income at or below 100 percent of the Federal Poverty Level (FPL) and who could not have enrolled in TennCare, the State’s Section 1115 demonstration, prior to April 1, 1997. o A technical amendment to the Title XXI statute (at Section 2110(b)(1)(B)(iii)) permitted eligibility for children in Tennessee by expanding the definition of a targeted low-income child to include one "who resides in a State that does not have a Medicaid applicable income level" and as of March 31, 1997, was not eligible for Medicaid. Prior to April 1, 1997, these children were not in TennCare because enrollment was closed to them. Thus, they meet the expanded definition of a targeted low-income child, and may be covered under CHIP. o Eligible children received the full Medicaid benefit package. All Medicaid program policies applied. The last eligible child aged-out of this expansion effective September 30, 2002. • CoverKids: On September 6, 2006, the State submitted a Title XXI amendment to expand coverage through a separate child health program, called CoverKids, for children who are