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51 Effective Date: July 1, 2009

Approval Date: to call if their income goes down, a family member moves in or out of their home, or a child under age 19 becomes pregnant or disabled, as their children may be eligible for a medical program with no premiums. There is also an additional warning on the statement of clients who are 30 or 60 days overdue.

If a child is terminated from CHIP for failure to pay premiums for three consecutive months, the household receives a letter outlining their rights and responsibilities. The letter says they will not be able to re-enroll until delinquent premiums are paid. There is no sanction period, however. If the delinquent premiums are paid, the child’s eligibility is restored back to the month of termination.

8.2.2. Deductibles: None. 8.2.3. Coinsurance or copayments: None. 8.2.4. Other: None.

8.3. Describe how the public will be notified, including the public schedule, of this cost sharing (including the cumulative maximum) and changes to these amounts and any differences based on income. (Section 2103(e)((1)(B))(42CFR 457.505(b))

State-published CHIP brochures and summary documents contain information about enrollee cost-sharing requirements. The CHIP application packet includes detailed information about cost-sharing requirements. CHIP enrollment and health plan enrollment documents also include all cost-sharing requirements.

If there is a change to cost-sharing requirements, the State sends each client a letter detailing the changes with a toll-free number to call if they have any questions about the changes. The information is relayed to the public through our outreach workers, advocates, and notification to providers.

8.4. The state assures that it has made the following findings with respect to the cost sharing in its plan: (Section 2103(e)) 8.4.1.

Cost-sharing does not favor children from higher income families over lower income families. (Section 2103(e)(1)(B)) (42CFR 457.530)