Access To Or Coverage Under Other Health Plans

A child is ineligible for coverage under the CHIP plan if they have access to or are enrolled in other health coverage plans as described below: (7-1-24) 01. Covered by Creditable Health Insurance. The child is covered by creditable health insurance at the time of application. (7-1-24) 02. Child is Eligible under Idaho’s Title XIX State Plan. (7-1-24) 03. Idaho State Employee Benefit Plan. The child is eligible to receive health insurance benefits under Idaho’s State employee benefit plan. (7-1-24) IDAHO ADMINISTRATIVE CODE IDAPA 16.03.01 – Eligibility for Health Care Department of Health and Welfare Assistance for Families & Children Section 524 Page 16 524. CONTINUOUS HEALTH CARE ASSISTANCE ELIGIBILITY FOR CHILDREN UNDER AGE NINETEEN. Children under age nineteen (19), who are found eligible for health coverage in an initial determination or at renewal, remain eligible for a period of twelve (12) months. The twelve (12) month continuous eligibility period does not apply if, for any reason, eligibility was determined incorrectly. (7-1-24) 01. Reasons Continuous Eligibility Ends. (7-1-24) a. The child is no longer an Idaho resident; (7-1-24) b. The child dies; (7-1-24) c. The participant requests closure; or (7-1-24) d. The child turns nineteen (19) years old under Subsection 010.05 of these rules. (7-1-24) 02. Reasons Children are not Eligible for Continuous Eligibility. (7-1-24) a. A child is approved for emergency medical services; or (7-1-24) b. A child is approved for pregnancy-related services. (7-1-24)