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28 Effective Date: July 1, 2001

Approval Date: Section 4. Eligibility Standards and Methodology (Section 2102(b))

Check here if the state elects to use funds provided under Title XXI only to provide expanded eligibility under the state’s Medicaid plan, and continue on to Section 5.

4.1. The following standards may be used to determine eligibility of targeted low- income children for child health assistance under the plan. Please note whether any of the following standards are used and check all that apply. If applicable, describe the criteria that will be used to apply the standard. (Section 2102)(b)(1)(A)) (42CFR 457.305(a) and 457.320(a))

4.1.1.

Geographic area served by the Plan: The entire state of Washington. 4.1.2.

Age: Children under the age of nineteen.

4.1.2.1

Age: Unborn, conception through birth. 4.1.3.

Income: Above 200% FPL up to and including 300% FPL for children under age 19. 4.1.3.1

Income: 0% of the FPL (and not eligible for Medicaid) through 185% of the FPL for unborn children. 4.1.3.2 Income: All wages paid by the Census Bureau for temporary employment related to decennial census activities are excluded. 4.1.4.

Resources (including any standards relating to spenddowns and disposition of resources): There is no resource test. 4.1.5.

Residency (so long as residency requirement is not based on length of time in state): A Washington resident who intends to continue living in the state, or who entered the state looking for a job or entered the state with a job commitment (WAC 388-468- 0005). 4.1.6.

Disability Status (so long as any standard relating to disability status does not restrict eligibility): There is no disability status requirement. 4.1.7.

Access to or coverage under other health coverage: CHIP coverage is not available to children who are otherwise eligible for Medicaid or who have “creditable coverage”.