Medicaid and CHIP Eligibility, Enrollment, Renewal, …

1 Total15 MONTHLY PAYMENTS (24 states)Arizona60 days2 monthsCalifornia60 daysN/A (M-CHIP)Connecticut3 Until RenewalNoneDelaware60 daysNoneFlorida30 days1 monthGeorgia60 days1 monthIdaho3 Until renewalNoneIllinois60 daysNoneIndiana60 days90 daysIowa44 daysNoneKansas60 days90 daysLouisiana60 days90 daysMaine412 monthsup to 90 daysMaryland60 daysN/A (M-CHIP)Massachusetts60 days90 daysMichigan60 daysN/A (M-CHIP)Missouri530 days90 daysNew Jersey60 days90 daysNew York30 daysNonePennsylvania90 days90 daysVermont3 Until RenewalN/A (M-CHIP)Washington90 days90 daysWest Virginia3, 6 Until RenewalNoneWisconsin60 days90 daysQUARTERLY PAYMENTS (2 states)Nevada60 days90 daysUtah30 days90 daysANNUAL PAYMENTS (4 states)Alabama7----Colorado8----North Carolina9----Texas10----NO PREMIUMS OR ENROLLMENT FEES (21 states)Alaska----Arkansas----District of Columbia----Hawaii----Kentucky----Minnes ota----Mississippi ----Montana----Nebraska----New Hampshire----New Mexico----North Dakota----Ohio----Oklahoma----Oregon---- Rhode Island----South Carolina----South Dakota----Tennessee----Virginia ----Wyoming---- Grace Period (amount of time) Before a Child Loses Coverage for Nonpayment1 Lockout Period in Separate CHIP Program2 Table 16 Disenrollment Policies for Non-Payment of Premiums in Children's Coverage, January 2018 StateSOURCE: Based on a national survey conducted by the Kaiser Family Foundation with the Georgetown University Center for Children and Families, presents rules in effect as of January 1, and CHIP Eligibility, Enrollment, Renewal, and Cost Sharing Policies as of January 2018 column indicates the grace period for payment of Medicaid or CHIP premiums before a child is disenrolled fromcoverage.

2 If premiums are charged in Medicaid , a state must provide a 60-day grace period. States must provide aminimum 30-day premium payment grace period in CHIP before cancelling a child's coverage. States that charge anannual enrollment fee may require prepayment as a condition of lockout period is an amount of time during which the disenrolled child is prohibited from returning to the CHIP program. Lockouts are not permitted in Medicaid , and the Affordable Care Act (ACA) limited lockout periods in CHIPto no more than 90 days. N/A (M-CHIP) responses indicate that the state does not provide a separate CHIP programfor uninsured , Idaho, Vermont and West Virginia do not disenroll children for unpaid premiums in CHIP. Renewal isconsidered a new application, and families need to pay the initial month to continue coverage at renewal. Vermont isnot currently disenrolling children for unpaid premiums due to system Maine, for each month there is an unpaid premium, there is a month of ineligibility up to a maximum of threemonths.

3 The penalty period begins in the first month following the enrollment period in which the premium wasoverdue. For example, if a family does not pay the last two months of premiums, they will have a two-month they do not pay three or more months, they will have a three-month lockout Missouri, only children in families with incomes above 225% of the federal poverty level (FPL) are subject to thelockout West Virginia, children are not disenrolled for non-payment of premiums, but past due amounts are subject tothird-party collections after 120 s annual enrollment fee is not required before a child enrolls in coverage, nor is a child disenrolled for non-payment in the first year. Following the annual renewal, families have 30 days to pay the annual enrollment fee toavoid s annual enrollment fee is required before a child enrolls in North Carolina, families have 12 days to pay the annual enrollment fee. They may request an additional 12 daysbefore Texas, children who renew coverage are given 30 days to pay the annual enrollment and CHIP Eligibility, Enrollment, Renewal, and Cost Sharing Policies as of January 2018 58