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New York

Eligibility¹

Children's Medicaid2	Separate Children's CHIP2	Pregnant Women3	Parents4
0-1: 200% 1-19: 160%	400%	200%	150%

Enrollment Procedures for Children⁵

Program Type6	Joint Application	Face-to-Face Interview	Asset Test7	Administrative Verification of Income8	Presumptive Eligibility
S-CHIP	Yes	Medicaid only9	No	No	Yes10

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	Yes11

Waiting Period

Waiting Period	Length
Yes	6 months (251-400% FPL)12

Enrollment Procedures for Parents¹³

Family Application	Face-to-Face Interview	Asset Test7
Yes14	Yes9	$6,600

Renewal Procedures for Parents¹³

Frequency of Renewal (in months)	Face-to-Face Interview
12	No

Enrollment Procedures for Pregnant Women¹⁵

Presumptive Eligibility	Asset Test16
Yes	No

Source: D. Cohen Ross & C. Marks, "Challenges of Providing Health Coverage for Children and Parents in a Recession," Kaiser Commission on Medicaid and the Uninsured, (January 2009); updated by the Center for Children and Families.

Notes:
1: Income eligibility levels noted are in effect as of July 2009 and expressed as a percentage of the Federal Poverty Level (FPL), without regard to income disregards or deductions.
2: Income eligibility levels for children's Medicaid includes CHIP-funded Medicaid expansions; separate CHIP programs are shown under children’s CHIP. New York covered children between 250% and 400% FPL with state funds from September 1, 2008 until receiving CMS approval for its expansion on June 11, 2009. Federal funding for these children is retroactive to the September implementation date.
3: Pregnant women's income eligibility levels are shown for regular Medicaid and CHIP (through 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.
5: Data as of July 2009. Information applies to both Medicaid and CHIP, if applicable, unless otherwise noted.
6: Program type as approved by the Centers for Medicare and Medicaid Services, reported in V. Smith, et al., "SCHIP Enrollment in June 2007: An Update on Current Enrollment and SCHIP Policy Directions," Kaiser Commission on Medicaid and the Uninsured (January 2008), 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: Contact with a community-based "facilitated enroller" will meet the face-to-face interview requirement.
10: New York's CHIP program has a presumptive-like process in which health plans can provide coverage for a 60-day period while the family submits necessary documentation.
11: Income verification is not required at CHIP renewal if a Social Security number is provided for the parent(s).
12: Children under age five are exempt from the waiting period. An additional exception will be granted for parents when the cost of private coverage exceeds 5% of a family’s income.
13: Data as of January 2009. 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.
14: In New York, there are two applications families may use to apply for health coverage for their children, one of which can also be used to apply for parents.
15: Data as of July 2009.
16: With the exception of Arkansas, all states with an asset test for pregnancy coverage rely on a standard limit regardless of family size.