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;Iñ!T CHIP Eligibility Effective Date: JulY 1 ,2017 Page 2 of 3 - ls authorized ro determine a child's eligibility to receive assistance under the Special Supplemental Food U prog."r for Women. Infants, and Children (WlC) under section l7 of the Ch ild N utrition Act of 1966 r--r ls author¡zed to determ¡ne a child's etigibility under the Medicaid state plan or for child health assistance u under the Children's Health lnsurance Program (CHIP) _ ls an elementary or secondary school, as defined in section l4l0l ofthe Elementary and secondary ! Education Act of l9ó5 (20 U.S.C. 8801) n Is an elementary or secondary school operated or supported by the Bureau oflndian Affairs I Is a state or Tribal child support enforcement agency undert¡tle lV-Dofthe Act ,- ls an organization that prov¡des emergency food and shelter under a grant under the Stewart B. McKinn€y u Homeless Assistance Act r-ì ls a state or Tribal office or entity involved in enrollmentinthe program under Medicaid, CHIP, ortitle ! rv-A ofthe Act Is an organizat¡on that determines eligibility for any assistance or benefits provided under any program of - oublic oì assisted housing that receives Federal funds, including the program under section I or any other U sect¡on ofthe United States HousingActof I937 (42 U.S.C. 1437) or under the Native American Housing Assistance and Self Determination Act of 1996 (25 U S C. 4l0l et seq ) X Any other entity the state so d€ems, as approved by the Secretary Name of entity Description CHDP Providers Presumptive eligibility is provided through the Child Health and D¡sability Prevent¡on (CHDP) program. This program provides heallh assessments for early detection and prevention ofdisease and disabilities for low-income children and youth. CHDP providers oversee the screening and follow- up components of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program for Medicaid eligible children and youth. ln July 2003, the CHDP program also began the using the "CHDP Cateway,"an automated pre-enrollment process for uninsured children. The CHDP Gateway serves as the entry point for low ¡ncome childr€n to enroll in ongoing health care covemge through Medicaid or CHIP, The CHIp Agency assures that ¡t has communicated the requirements for qualified entities, at 19204(bX3) I ofthe Act, and provided adequate training to the entit¡es and organizations involved. A copy ofthe train¡ng materials has been included. i sPA# CA-17-0045 Approval DEC 2 7 20li