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STATE CHILD HEALTH PLAN UNDER TITLE XXI OF THE SOCIAL SECURITY ACT

STATE: Virginia Page 2-4

Effective Date: 07/01/05

4 Approval Date: _____________/06 Section 2. General Background and Description of State Approach to Child Health Coverage and Coordination (Section 2102 (a)(1)-(3)) and (Section 2105)(c)(7)(A)-(B))

2.1. Describe the extent to which, and manner in which, children in the state including targeted low-income children and other classes of children, by income level and other relevant factors, such as race and ethnicity and geographic location, currently have creditable health coverage (as defined in 42 CFR 457.10). To the extent feasible, make a distinction between creditable coverage under public health insurance programs and public-private partnerships (See Section 10 for annual report requirements). (42 CFR 457.80(a))

The Virginia Health Care Foundation conducted two surveys of health access in Virginia. The latest survey was conducted in the Spring of 1997 for the year 1996 of a representative sample of 1,861 households representing 4,694 individuals. The Department of Medical Assistance Services (DMAS) used estimates derived from this survey and census data for its planning purposes rather than from the national Current Population Survey. DMAS' administrative data were used to estimate Medicaid insured children.

HEALTH INSURANCE STATUS OF VIRGINIA CHILDREN 0-18, BY POVERTY LEVEL 1996

Insured Uninsured

Poverty Level Medicaid Private Total Insured Medicaid Eligible Other Uninsured Total Uninsured Total Children Under 100% 206,550 2,430 208,980 34,020 0 34,020 243,000 100% to 125% 33,450 3,570 37,020 10,980 9,000 19,980 57,000 125% to 150% 31,500 4,860 36,360 12,920 12,720 25,640 62,000 150% to 175% 37,500 9,140 46,640 22,080 17,280 39,360 86,000 175% to 200% 6,000 44,000 50,000 2,000 33,000 35,000 85,000 200% to 250% 0 57,000 57,000 0 20,000 20,000 77,000 Above 250% 0 979,000 979,000 0 40,000 40,000 1,019,000 Totals 315,000 1,100,000 1,415,000 82,000 132,000 214,000 1,629,000