Utah


Eligibility1

Children's
Medicaid2
Separate
Children's
CHIP2
Pregnant
Women3
Parents4
0-5: 133%

6-19: 100%
200%
133%
40%


Enrollment Procedures for Children5

Program
Type6
Joint Application
Face-to-Face Interview
Asset Test
Administrative
Verification of Income7
Presumptive Eligibility
S-CHIP
Yes
No
$3,025
(Medicaid only)8
No
No


Renewal Procedures for Children5

Frequency of Renewal
(in months)
12-month
Continuous Eligibility
Joint Renewal Form
Face-to-Face Interview
Administrative
Verification of Income7
12
CHIP only
No
No
CHIP only9


Waiting Period

Waiting
Period
Length
Yes
90 days


Enrollment Procedures for Parents10

Family Application
Face-to-Face Interview
Asset Test
Yes
No
$3,0258


Renewal Procedures for Parents10

Frequency of Renewal
(in months)
Face-to-Face Interview
1211
No


Enrollment Procedures for Pregnant Women12

Presumptive
Eligibility
Asset Test
Yes
$5,00013



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 January 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.
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. Note that several states, including Utah, have established coverage for parents through waivers, however this coverage generally offers fewer benefits, higher cost-sharing, or is limited to premium assistance for employer-sponsored coverage.
5: Data as of January 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: 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.
8: Asset limits noted are for a family of three and only applies to children over age 6 in Medicaid.
9: In Utah, families with children on CHIP receive one of two renewal forms. One of the renewal forms requires families to provide verification of income only if income has changed. The other form, which is sent to families that have had a change in income during the previous year, requests income verification.
10: 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.
11: Renewal periods for parent coverage are 12 months, but can be more frequent if income fluctuates.
12: Data as of January 2009.
13: With the exception of Arkansas, all states with an asset test for pregnancy coverage rely on a standard limit regardless of family size. Pregnant women who exceed the asset limit in Utah may still qualify for coverage if they make a one-time payment of four percent of the value of their assets or $3,367, whichever is less.