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Wyoming

Eligibility¹

Children's Medicaid2	Separate Children's CHIP2	Pregnant Women3	Parents4
0-5: 133% 6-19: 100%	200%	133%	38%

ICHIA Option⁵

Children	Pregnant Women
No	No

Waiting Period

Waiting Period	Length
Yes	1 Month

Enrollment Procedures for Children⁶

Program Type7	Joint Application	Face-to-Face Interview	Asset Test8	State Attempts to Administratively Verify Income9
S-CHIP	Yes	No	No	Yes

Enrollment Processes for Children⁶

Presumptive Eligibility	Express Lane Eligibility10	SSA Data Match to Verify Citizenship11
No	No	Yes

Use of Online Application Forms in Medicaid and CHIP¹²

Application Form Submitted Electronically	Form Submitted Electronically	Ability to Start/Stop Application	Online Account has Enhanced Functionality
Yes	Yes	Yes	Yes

Renewal Procedures for Children⁶

Frequency of Renewal (in months)	12-month Continuous Eligibility	Face-to-Face Interview	State Attempts to Administratively  Verify Income9
12	Yes	No	Yes

Renewal Methods for Children⁶

Joint Renewal Form13	Administrative Renewal14	Telephone Renewal	Online Renewal	Express Lane10
Yes	CHIP Only	CHIP Only	Yes	No

Enrollment Procedures for Parents¹⁵

Simplified Family Application16	Face-to-Face Interview	Asset Test8	SSA Data Match to Verify Citizenship11	State Attempts to Administratively Verify Income9
Yes	No	No	Yes	Yes

Renewal Procedures for Parents¹⁵

Frequency of Renewal (in months)	Face-to-Face Interview	State Attempts to Administratively Verify Income9
12	No	Yes

Enrollment Procedures for Pregnant Women

Presumptive Eligibility	Asset Test17
Yes	No

Premium, Enrollment Fee, and Copayment Requirements for Children

Premium/Enrollment Fee Required	Begin at (of the FPL)	Copayments Required	Begin at (of the FPL)
No	N/A	Yes	101%

Source: M. Heberlein, et al., "Performing Under Pressure," Kaiser Commission on Medicaid and the Uninsured, (January 2012); updated by the Center for Children and Families. Data as of January 1, 2012.

Notes:
1: Income eligibility levels noted are 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, CHIP, and 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: The "ICHIA" option in CHIPRA allows states to use federal funds to cover lawfully residing immigrant children and pregnant women in Medicaid/CHIP without imposing a five-year waiting period. This indicates whether the state has received approval of a State Plan Amendment to adopt this option.
6: Information applies to both Medicaid and CHIP, if applicable, unless otherwise noted.
7: States can use their Title XXI (CHIP) funds to expand Medicaid (M-CHIP), cover children through a separate program (S-CHIP), or combine the two approaches (COMBO). Arkansas, Minnesota, Oklahoma, and Rhode Island, have separate CHIP programs for their coverage of pregnant women using the unborn child option. Connecticut, Florida, Maine, Minnesota, New Hampshire, New Jersey, New York, North Carolina, Oregon, Pennsylvania, Tennessee, and Wisconsin allow families with incomes above the levels shown buy into Medicaid/CHIP.
8: In states with asset limits, the limit noted is for a family of three.  However, in Georgia, Iowa, Kentucky, Michigan, Nevada, North Carolina, South Carolina, and South Dakota, the asset limits apply regardless of family size.  Documentation of assets is not required by parents in Alaska, Florida, Georgia, Hawaii, Oregon, South Carolina, Tennessee, Vermont and Washington.  As of September 2011, parents covered through 1931 Medicaid coverage in Idaho are no longer required to provide documentation of assets if assets declared are within 10 percent of the asset limit threshold. 
9: The state attempts to verify income administratively either through available databases or collateral contacts with third parties, such as employers.  A state may make such attempts prior to asking the family for documentation, if the family is unable to provide the documentation, or conduct a behind-the-scenes verification of self-attested information.  This a change from how it was defined in last year's report so data are not compared year to year.
10: The new Express Lane Eligibility option allows states to use data and eligibility findings from other public benefit programs when determining children’s eligibility for Medicaid and CHIP at enrollment or renewal.  States are designated as using Express Lane Eligibility if they have implemented an initiative and have an approved State Plan Amendment from CMS.
11: This CHIPRA option became newly available in 2010 and allows states to conduct data matches with the Social Security Administration to verify citizenship.
12: Unless specified otherwise, the Medicaid online application and electronic submission, electronic signature, and documentation rules apply to both children and parents.  Waiver or state-funded coverage for parents may have different policies.
13: In Iowa, Montana, Texas, and Wyoming, although separate forms are used to apply for Medicaid and CHIP, the programs will accept the other's renewal form.
14: A state is classified as providing administrative renewal if it sends a pre-populated form with all eligibility information available or a renewal letter to the family in advance of the renewal date. The family is required to either sign and return the form, signaling that they wish to continue coverage, or take no action. States that send a pre-populated form, but require families to submit paper documentation to continue coverage do not qualify has having implemented administrative renewals. In addition, there are some states that conduct administrative renewals through other means that does not involve sending out a pre-populated form to families; these states are also counted. States that have adopted this renewal approach in 2011 include Colorado, Idaho, Montana (Medicaid), North Carolina, and West Virginia.
15: Data represents policies for parents covered through 1931 Medicaid coverage; some states have differing policies for parents and other non-disabled adults covered through waiver or state-funded coverage programs.
16: States are classified as providing a simplified family application if parents can apply for coverage without having to complete a separate application or additional forms. In some states a longer form must be used to apply for family coverage while a shorter, simpler form is available for children's coverage; these states are not classified as offering a simplified family application.
17: With the exception of Arkansas and Utah, all states with an asset test for pregnancy coverage rely on a standard limit regardless of family size. In Arkansas and Utah, the asset limit shown is for a family of three.  In South Carolina, pregnant women do not have to provide documentation of their assets.  As of September 2011, pregnant women in Idaho were no longer required to provide paper documentation unless their declared assets were within 10 percent of the asset limit threshold.