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Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Policies as of January 2016: Findings from a 50-State Survey

Trend and State-by-State Tables

Table A: Trends in State Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies, July 2000 to January 2015

Table 1: Upper Income Eligibility Limits for Children’s Health Coverage as a Percent of the Federal Poverty Level (FPL), January 2016

Table 2: Waiting Period for CHIP Enrollment, January 2016

Table 3: Optional Medicaid and CHIP Coverage for Children, January 2016

Table 4: Medicaid and CHIP Coverage for Pregnant Women, January 2016

Table 5: Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level, January 2016

Table 6: MAGI Eligibility Systems, January 2016

Table 7: Coordination between Medicaid and Marketplace Systems, January 2016

Table 8: Online and Telephone Medicaid Applications, January 2016

Table 9: Online Account Capabilities for Medicaid, January 2016

Table 10: Income Verification Procedures Used by Medicaid Agencies at Application, January 2016

Table 11: Non-Financial Eligibility Criteria Verification Procedures Used by Medicaid Agencies, January 2016

Table 12: Use of Selected Options to Facilitate Enrollment in Medicaid and CHIP, January 2016

Table 13: Renewal Processes for MAGI-Based Medicaid Groups, January 2016

Table 14: Targeted Strategies to Streamline Renewals, January 2016

Table 15: Premium, Enrollment Fee, and Cost-Sharing Requirements for Children, January 2016

Table 16: Premiums and Enrollment Fees for Children at Selected Income Levels, January 2016

Table 17: Disenrollment Policies for Non-Payment of Premiums in Children’s Coverage, January 2016

Table 18: Cost-Sharing Amounts for Selected Services for Children at Selected Income Levels, January 2016

Table 19: Cost-Sharing Amounts for Prescription Drugs for Children at Selected Income Levels, January 2016

Table 20: Premium and Cost-Sharing Requirements for Section 1931 Parents, January 2016

Table 21: Premium and Cost-Sharing for Medicaid Adults, January 2016

Looking Ahead

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.