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19 Effective Date: July 1, 2009
Approval Date: local CSO staff that there is an application that needs processing. If the child is determined to be ineligible for Medicaid, the application is then electronically forwarded to Medical Eligibility Determination Services (MEDS) staff at MPA to determine the child’s eligibility for the CHIP program. In addition to this application process, Washington’s CHIP program coordinates with the BHP application process. Currently, Washington’s Medicaid program has an interagency agreement with the HCA’s BHP to cover children under 19 years of age with family incomes at or below 200% FPL. If a family checks a box on their application that states they would like to apply for BHP Plus for their children, HCA automatically forwards the application to MPA. This is permissible under the special rule provision of Title XXI, Section 2110(b)(3). MPA then processes the application, looking first at eligibility for Medicaid. If the children are not Medicaid eligible, then eligibility for CHIP is determined. For disabled children receiving services under the Title V Children with Special Health Care Needs (CSHCN) program, we identify clients through both self- identification and a data match with the Department of Health (DOH). We coordinate services for these children with representatives from DOH, regional CSHCN representatives, community-based groups and organizations, and CSHCN care coordinators. MPA representatives meet with these groups on a regular basis to discuss and clarify policies, care plans, relevant issues, and complaints. MPA also has a representative on the Medicaid Integration Team whose purpose is to share information and address issues regarding CSHCN that may come up at the regional level. We also use our outreach contractors to help identify potentially eligible-families, and assist them to apply for all types of benefits. Our statewide toll-free line helps families apply for all types of benefits and connects them with local resources. Our “Apple Health for Kids” application is available in a broad array of public and community locations, such as physician offices, schools, and community health departments.