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Cost Sharing: • Phase I: There was no cost sharing for the children in the State’s Medicaid Expansion plan. This was consistent with TennCare policy, under which no cost sharing was imposed on children or adults with income at or below 100 percent of the FPL. • CoverKids: American Indians/Alaska Natives: there are no cost-sharing requirements. All other children: there are no premiums or deductibles. Copayments will be charged for most services. For example, copayment for a physician office visit for a child whose family income is below 150 percent of the FPL will be $5 for a primary care physician or specialist; copayment for a physician office visit for a child whose family income is above 150 percent of the FPL to 250 percent of the FPL will be $15 for a primary care physician and $20 for a specialist. Copayments for other services will vary.

• Copayments will not exceed a 5 percent annual cost-sharing maximum. The CoverKids eligibility and enrollment administrator will notify families and the health plan of the out-of- pocket limit based on 5 percent of annual income. The health plan will track money spent for copayments, notify the family when the limit is met, and annotate the child’s file to notify providers that no further copayment is required.

State Outreach Activities: • Phase I: Local health departments conducted outreach activities in their communities. They routinely participated in community health fairs and conducted presentations at a variety of community events to inform the public of the continued availability of TennCare coverage for uninsured children. These community events ranged from presentations provided at churches and neighborhood associations, to booths with information and applications for the TennCare program being set up at special events such as county fairs, street festivals, carnivals and school events/registrations. • CoverKids: Outreach for CoverKids is composed of two components: (1) coordinated marketing outreach in conjunction with other Cover Tennessee initiatives, using demographically targeted media campaigns and existing information dissemination channels; and, (2) outreach through partner programs, agencies and organizations that have contact with families whose children are likely to qualify for CoverKids. The initial statewide media campaign will use television, radio, print, internet and outdoor advertising outlets. Brochures, posters, and application forms will be made available for widespread dissemination. The State will establish a toll-free inquiry telephone number and place information about CoverKids on the Division of Insurance Administration’s website. State Action to Avoid Crowd-Out: • The CoverKids application form will request information regarding other insurance coverage for each child. A child who has creditable health coverage will not be enrolled in CoverKids. A child whose family has dropped coverage within 3 months prior to the month of application, except for involuntary loss of coverage due to layoff, business closing, or similar