Family Healthcare (FAMIS)

0920.020.30.05 Restrictions on Healthcare Services (CHIP)

IM-99 October 2, 2007,  IM-#83 August 2, 2005,  IM-#102 May 31, 2001IM-#04 January 12, 2001

Coverage for CHIP Premium group children (LOC 2 and 3, CHIP 73,74 and 75) is the same as that received by Non-CHIP MC+ children, except non-emergency medical transportation is not provided.

Coverage for CHIP No-Cost children is the same as that received by non-CHIP MC+ children.

Prior to September 1, 2005, there were cost sharing requirements for persons with gross income above 185%. Children in the Co-Pay Group (186-225% FPL) had a $5 co-pay at the time of each provider visit. Children in the Premium Group (226-300% FPL) had a $10 co-pay at the time of each provider visit and a $9 co-pay per prescription, in addition to the monthly family premium.