CHIP Policy

201 Medicaid Eligibility

Effective Date: June 1, 2024

Previous Policy

 

A child who is eligible for Medicaid is not eligible for CHIP enrollment. When an application is received, the agency must determine if the child qualifies for Medicaid.  (See the Medicaid Manual for eligibility rules) Exceptions:

1. Those who qualify for Medicaid only by paying a monthly spenddown or MWI premium and choose not to meet the spenddown or premium to become eligible for Medicaid may be enrolled in CHIP.
2. Refugees must be considered for CHIP before they can qualify for Refugee Medical Assistance (RMA).
3. Those who only qualify for Emergency Medicaid due to citizenship status will be enrolled in State CHIP if it is open enrollment.