048.0037.51.6

Ch. 51, § 6. CHIP Eligibility Requirements

Last amended: 2024Length: 156 wordsOfficial source

Cite as Medicaid Rules, Ch. 51, § 6

(a) Applicants shall meet the following additional requirements to be eligible for CHIP: (i) Applicants must be below age nineteen (19); (ii) Countable family income shall be between one hundred thirty-four percent (134%) and two hundred percent (200%) of the Federal Poverty Level (FPL) and calculated using the modified adjusted gross income of the household; (iii) Applicants cannot reside in a public institution; (iv) Applicants cannot be covered by any health insurance plan, including the State of Wyoming employee health insurance group plan; and (v) Applicants cannot have been covered by a health insurance plan for a minimum period of one (1) month before the date of application. The minimum period can be waived when allowable exceptions exist, including the applicant's out-of-pocket health insurance premium costs. (vi) Applicants and enrolled clients shall immediately report any changes in any of the following circumstances to the Department: (A) Income; (B) Household composition; (C) Health insurance; and (D) Address.
048.0037.51.6: Ch. 51, § 6. CHIP Eligibility Requirements | Justis AI