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1.4- TC Tribal Consultation (Section 2107(e)(1)(C)) Describe the consultation process that occurred specifically for the development and submission of this State Plan Amendment, when it occurred and who was involved.
CA RESPONSE:
In July 2014, CMS determined that tribal consultation was not necessary for the Medicaid companion SPA (Medicaid SPA CA-13-0021), expanding Medicaid eligibility related to the end of the HFP and the transition of children from a separate to a Medicaid expansion. This CHIP SPA is administrative in nature and does restrict eligibility, reduce payment rates or make updates to payment methodologies to Indian health programs, reduce or restrict access to covered services, increase services reimbursed to Indian health programs or update the tribal consultation policy in any way.
TN No: Approval Date Effective Date: NA
Section 2. General Background and Description of Approach to Children’s Health Insurance Coverage and Coordination
Guidance: The demographic information requested in 2.1. can be used for State planning and will be used strictly for informational purposes. THESE NUMBERS WILL NOT BE USED AS A BASIS FOR THE ALLOTMENT.
Factors that the State may consider in the provision of this information are age breakouts, income brackets, definitions of insurability, and geographic location, as well as race and ethnicity. The State should describe its information sources and the assumptions it uses for the development of its description. • Population • Number of uninsured • Race demographics • Age Demographics • Info per region/Geographic information
CA RESPONSE:
The uninsurance rate for children 0-18 in California is 4 percent. Type of coverage breaks out in the following manner for children in the state: • Employer coverage is 45 percent, • Non-group coverage is 7 percent, • Medicaid coverage is 42 percent, and