Benefits and Cost Sharing in Separate CHIP Programs

CHIP provides states with options when designing their programs. States can choose to use CHIP funds to expand their Medicaid programs, establish separate CHIP programs, or offer a mix of both types. Within broad federal rules and guidelines, states have considerable flexibility in separate CHIP programs to determine benefit packages. States also can set premium and other cost-sharing requirements within federal rules. This report examines covered benefits, limitations, and premium and cost-sharing provisions in 2013 for 42 separate CHIP programs in 38 states. The report seeks to expand understanding of the extent of coverage these programs provide and examine the similarities and differences in coverage among them.

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