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.