Requirements

Do not require a new application.

Waive the open enrollment requirement for UPP if there has not been a break in coverage.

All eligibility factors must be met.

Do a new income determination.

Complete a new access to insurance test.

For a CHIP child to move from CHIP to UPP, the enrollee has 10 days from either the day the child is signed up or the date coverage begins, whichever is later, to report the insurance coverage.

If transitioning to UPP and all UPP eligibility requirements are met, end CHIP the day before the health insurance coverage begins and open UPP effective the day the health insurance coverage begins.

If transitioning to UPP or CHIP, open UPP or CHIP and authorize a new 12-month certification period. If transitioning to Medicaid, create a new review period.

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Requirements

Official source

Do not require a new application.

Waive the open enrollment requirement for UPP if there has not been a break in coverage.

All eligibility factors must be met.

Do a new income determination.

Complete a new access to insurance test.

For a CHIP child to move from CHIP to UPP, the enrollee has 10 days from either the day the child is signed up or the date coverage begins, whichever is later, to report the insurance coverage.

If transitioning to UPP and all UPP eligibility requirements are met, end CHIP the day before the health insurance coverage begins and open UPP effective the day the health insurance coverage begins.

If transitioning to UPP or CHIP, open UPP or CHIP and authorize a new 12-month certification period. If transitioning to Medicaid, create a new review period.