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Coverage in California Covered California (http://www.coveredca.com) is the health insurance marketplace in California. The exchange enables individuals and small businesses to purchase health insurance at federally subsidized rates. It is administered by an independent agency of the government of California. Individuals, including families with children potentially eligible for Medicaid or CHIP, can also apply online at the Covered California website. California determines whether children are eligible for Medicaid (no-cost Medi-Cal) or other CHIP programs via the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS). CalHEERS is a computer system that contains California’s Single Streamlined Application, which is consistent with ACA requirements.

Individuals can also apply in person or by mail at a local county human services agency or by phone or mail at Covered California. If individuals need assistance applying or have questions, the state provides a link to find a certified enroller in the area.

Children’s Coverage through Separate CHIP Under the Title XXI plan, children will receive health coverage, as well as comprehensive vision and dental coverage. California covers children in its separate CHIPs under the following programs:

 Population 1: COUNTY CHILDREN’S HEALTH INITIATIVE PROGRAMS (CCHIP)  Population 2: UNBORN OPTION (low income population receiving MEDI-CAL like benefit)  Population 3: MEDI-CAL ACCESS PROGRAM (MCAP/higher income population receiving state employee benchmark coverage)  Population 4: MEDI-CAL ACCESS INFANT PROGRAM (MCAIP/infants born to Population 3 only)

In addition to the separate CHIP, certain title XXI funded children receive coverage through a Medicaid expansion that also includes dental and vision coverage. Children with certain complicated medical conditions will receive treatment of those conditions through the state’s highly regarded California Children’s Services (CCS) program. Similarly, children with serious emotional disturbances may receive treatment of their condition from county mental health departments. This comprehensive child focused benefits package provides children with preventive, full scope, quality health care which is designed to help promote healthier children and, as a result, healthier families for the state of California.

POPULATION 1/COUNTY CHILDREN’S HEALTH INITIATIVE PROGRAMS (CCHIP)