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7 Effective Date: July 1, 2009

Approval Date:

Amendment 4 - This amendment allows CHIP coverage for unborn children of women up to 185% of the Federal poverty level who are not eligible for Medicaid. Submitted: June 25, 2003 Approved: September 22, 2003 Effective date: November 12, 2002 Amendment 5 - This amendment changed the eligibility review period from 12 months of continuous coverage to 6 months of non-continuous coverage. Submitted: January 22, 2004 Approved: June 16, 2004 Effective date: December 31, 2003 Amendment 6 - This amendment increased the premium amount from $10/mo. per child; $30/mo maximum per family to $15/mo per child; $45/mo maximum per family. The time allowed for non-payment of premiums was decreased from 4-months to 3- months; the waiting period after disenrollment for non-payment was decreased from 4-months to 3-months. Submitted: August 16, 2004 Approved: November 5, 2004 Effective date: July 1, 2004 Amendment 7 - This amendment restored the certification period back to 12 months continuous coverage; it also updated the State plan to reflect the name and organizational changes that occurred within the agency that administers CHIP. Submitted: May 2, 2006 Approved: August 1, 2006 Effective date: July 1, 2005 Amendment 8 - This amendment proposed a change in rates and payment methods and a requirement for a SSN for children. Submitted: November 27, 2006 Withdrawn: December 27, 2006 Amendment 9 - This amendment proposed funding for additional outreach activities. Submitted: January 23, 2007 Withdrawn: February 3, 2008