048.0037.51.6
Ch. 51, § 6. CHIP Eligibility Requirements
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.