706-5 What To Do With An Ineligible Case

Effective Date: July 1, 2011

Previous Policy

Immediately discontinue enrollment of an ineligible CHIP enrollee and send the proper advance notice.  

Submit an overpayment referral when a child or case is ineligible for the following reasons:

  1. Suspected Intentional Program Violation (SIPV).

  2. A child or children enroll in a group health plan or other health insurance and the household did not report it timely.

See Sections 806-1 and 806-2 for more information.