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Pennsylvania

Eligibility¹

Children's Medicaid2	Separate Children's SCHIP2	Pregnant Women3	Parents4
0-1: 185% 1-5: 133% 6-19: 100%	300%	185%	29%

Enrollment Procedures for Children⁵

Program Type6	Joint Application	Face-to-Face Interview	Asset Test7	Administrative Verification of Income8	Presumptive Eligibility
S-SCHIP	Yes9	No	No	No	No10

Renewal Procedures for Children⁵

Frequency of Renewal (in months)	12-month Continuous Eligibility	Joint Renewal Form	Face-to-Face Interview	Administrative Verification of Income8
6 (Medicaid)/ 12 (SCHIP)	SCHIP only	No	No	No

Waiting Period

Waiting Period	Length
Yes	6 months (200% - 300% FPL; children under 2 are exempt)

Enrollment Procedures for Parents¹¹

Family Application	Face-to-Face Interview	Asset Test7
Yes	No	No

Renewal Procedures for Parents¹¹

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

Enrollment Procedures for Pregnant Women¹²

Presumptive Eligibility	Asset Test13
No14	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.
3: Pregnant women's income eligibility levels are shown for regular Medicaid and SCHIP (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 as of January 2008. In Pennsylvania, expanded coverage for parents is state-funded.
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 state uses Medicaid and SCHIP applications that solicit "common data elements" in collecting information, thus making Medicaid and SCHIP applications interchangeable.
10: In Pennsylvania, presumptive eligibility is available in most of the state, however an alternative expedited procedure is being piloted in Philadelphia and four surrounding counties.
11: 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.
12: Data as of January 2008.
13: With the exception of Arkansas, all states with an asset test for pregnancy coverage rely on a standard limit regardless of family size.
14: Presumptive eligibilty is available in most of the state, however, an alternate expedited procedure is being piloted in Philadelphia and four surrounding counties.