California
Eligibility1
Children's
Medicaid2
|
Separate
Children's
SCHIP2
|
Pregnant
Women3
|
Parents4
|
0-1: 200%
1-5: 133%
6-19: 100%
|
250%
|
200%
|
100%
|
Enrollment Procedures for Children5
Program
Type6
|
Joint Application
|
Face-to-Face Interview
|
Asset Test7
|
Administrative
Verification of Income8
|
Presumptive Eligibility
|
COMBO
|
Yes
|
No
|
No
|
No
|
Yes9
|
Renewal Procedures for Children5
Frequency of Renewal
(in months)
|
12-month
Continuous Eligibility
|
Joint Renewal Form
|
Face-to-Face Interview
|
Administrative
Verification of Income8
|
12
|
Yes
|
No
|
No
|
No
|
Waiting Period
Waiting
Period
|
Length
|
Yes
|
3 months
|
Enrollment Procedures for Parents10
Family Application
|
Face-to-Face Interview
|
Asset Test7
|
No11
|
No
|
$3,150
|
Renewal Procedures for Parents10
Frequency of Renewal
(in months)
|
Face-to-Face Interview
|
1212
|
No
|
Enrollment Procedures for Pregnant Women13
Presumptive
Eligibility
|
Asset Test14
|
Yes
|
No
|
Source: D. Cohen Ross, A. Horn & C. Marks, "
Health Coverage for
Children and Families in Medicaid and SCHIP: State Efforts Face New
Hurdles," Kaiser Commission on Medicaid and the Uninsured, (January
2008); updated by the Center for Children and Families.
Notes:
1: Income eligibility levels noted are in effect as of January 2008 and expressed as a percentage of the 2007 Federal Poverty Level (FPL), without regard to income disregards or deductions.
2: Income eligibility levels for children's Medicaid includes SCHIP-funded
Medicaid expansions; separate SCHIP programs are shown under children’s
SCHIP. In California, infants born to women on the Access for Infants and Mothers (AIM) program are automatically enrolled in SCHIP unless the child is enrolled in employer-sponsored insurance or no-cost full scope Medi-Cal. The income guidelines for these infants, through their second birthday, is 300% FPL.
3: Pregnant women's income eligibility levels are shown for regular Medicaid and SCHIP (through the unborn child option). In California, the AIM program is available for pregnant women with income between 201 and 300% FPL. The program is funded using the unborn child option.
4: Parents' income eligibility levels are shown for parents without earned
incomes (i.e., does not reflect earnings disregards used to determine
income eligibility for working parents) applying for comprehensive
Medicaid coverage based on a family size of three as of January 2008.
5: Data as of January 2008 and information applies to both Medicaid and SCHIP, if applicable, unless otherwise noted.
6: Program type as approved by the Centers for Medicare and Medicaid Services as of March 1, 2008, as updated by the Center for Children and Families.
7: Asset limits noted are for a family of three.
8: In states with administrative verification, families do not have to provide verification of income, and such states generally verify this information by accessing data from other government agencies.
9: The presumptive eligibility process in SCHIP is available to families with income up to 200% FPL and is only available through the Child Health and Disability Prevention Program.
10: Data as of January 2008 and information for parents refer to enrollment/renewal procedures under regular Medicaid; some states have expanded Medicaid for parents (through waivers or state funds) and procedures under the expansion may be different than the procedures for regular Medicaid.
11: The same simplified application can be used to apply for coverage for children and parents, however, parents must complete additional forms or take additional steps prior to an eligibility determintation for themselves.
12: Parents must submit a status report at six month intervals; a full eligibility review is done annually.
13: Data as of January 2008.
14: With the exception of Arkansas, all states with an asset test for pregnancy coverage rely on a standard limit regardless of family size.