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28 Effective Date: July 1, 2001

Approval Date: CHIP under the CHIPRA section 214 option that it has verified, both at at the time of the individual’s initial eligibility determination and at the time of the eligibility redetermination, that the individual continues to be lawfully residing in the United States. The State must first attempt to verify this status using information provided at the time of initial application. If the State cannot do so from the information readily available, it must require the individual to provide documentation or further evidence to verify satisfactory immigration status in the same manner as it would for anyone else claiming satisfactory immigration status under section 1137(d) of the Act.

4.2. The State assures that it has made the following findings with respect to the eligibility standards in its plan: (Section 2102)(b)(1)(B)) (42CFR 457.320(b))

4.2.1.

These standards do not discriminate on the basis of diagnosis.

4.2.2.

Within a defined group of covered targeted low-income children, these standards do not cover children of higher income families without covering children with a lower family income. 4.2.3.

These standards do not deny eligibility based on a child having a pre-existing medical condition.

4.3. Describe the methods of establishing eligibility and continuing enrollment. (Section 2102)(b)(2)) (42CFR 457.350)

MPA uses two standardized application forms to make eligibility determinations. One form is used for clients applying for the Apple Health for Kids healthcare program (a one-page form). The other form is used for clients applying for cash benefits, food stamps, medical assistance and other benefits. Applicants for CHIP can apply for healthcare coverage by using either form.

Information from the application is entered into the state’s Automated Client Eligibility System (ACES), which automatically generates CHIP eligibility notices and reviews. ACES transfers eligibility information to the state’s Medical Management Information System (MMIS). MMIS information is used to enroll clients into managed care.