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41 and 42 CFR 457.80(c). Describe this process.
The State is establishing a screening threshold set as a percentage of the Federal poverty level (FPL) that exceeds the highest Medicaid income threshold applicable to a child by a minimum of 30 percentage points. (NOTE: The State may set this threshold higher than 30 percentage points to account for any differences between the income calculation methodologies used by the Express Lane agency and those used by the State for its Medicaid program. The State may set one screening threshold for all children, based on the highest Medicaid income threshold, or it may set more than one screening threshold, based on its existing, age-related Medicaid eligibility thresholds.) Include the screening threshold(s) expressed as a percentage of the FPL, and provide an explanation of how this was calculated.
The State is temporarily enrolling children in CHIP, based on the income finding from the Express Lane agency, pending the completion of the screen and enroll process.
Section 5. Outreach and Coordination
5.1. (formerly 2.2) Describe the current State efforts to provide or obtain creditable
health coverage for uninsured children by addressing sections 5.1.1 and 5.1.2.
(Section 2102)(a)(2) (42CFR 457.80(b))
Guidance: The information below may include whether the state elects express lane eligibility a description of the State’s outreach efforts through Medicaid and state-only programs.
5.1.1. (formerly 2.2.1.) The steps the State is currently taking to identify and enroll all uninsured children who are eligible to participate in public health insurance programs (i.e., Medicaid and state-only child health insurance):
CA REPSONSE:
California currently identifies and enrolls uncovered children who are potentially eligible to participate in public programs in several ways:
• CCS and Women, Infants, and Children (WIC) providers identify children who may be potentially eligible for Medi-Cal and refer the family to the appropriate office to apply. State statute requires CCS applicants who may be eligible to apply for Medi-Cal . • CHDP providers identify children who are uninsured and appear to be eligible for no cost Medi-Cal or the CHIP programs, grant presumptive eligibility in one of