State Coverage Initiatives
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Overview of Medicaid and SCHIP Coverage

Group Income Eligibility
Children 200% FPL
Pregnant Women 185% FPL
Parents 27% FPL
Working Parents (Premium Assistance) 200% FPL
SSI Disabled (non-elderly) 75% FPL

Medicaid, SCHIP, and Federal Authority2

Section 1115/HIFA Waiver - On November 2, 2006, CMS approved Nevada 's Title XXI (SCHIP) Section 1115/HIFA Waiver. This demonstration will provide health care coverage to pregnant women with family incomes above 133 percent FPL up to and including 185 percent FPL. Parents, caretaker relatives, and legal guardians with family incomes below 200 percent FPL will receive coverage through employer-sponsored insurance (ESI) and premium assistance.

Sources of Health Insurance Coverage State Data 2004-2005, U.S.

Notes and Sources

 

Percentage of Private-Sector Establishments That Offer Health Insurance Based on Firm Size by State, 2004

Information presented in the profile was summarized in December 2006 from a review of state Web sites and reports, and through contacts with state officials. In most cases the profiles were reviewed by state officials; however, it is possible that states have implemented strategies that are not reflected in this profile.

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1 This overview provides a general description of state coverage levels under their Medicaid and SCHIP programs, including coverage through waivers, as of October 2006. Health Management Associates researched eligibility information from state web sites, data from state reports, and verified through contacts with state officials during the fall of 2006. This does not reflect the specific eligibility categories or requirements. This is not intended to be a substitute for eligibility information provided by each state. Individuals interested in applying for these programs should contact the state directly for specific eligibility requirements.
2 The profile only includes Medicaid and SCHIP waivers intended to make comprehensive expansions to the uninsured. At this time, the profiles do not include Family Planning, Pharmacy Plus waivers, or long-term care waivers.

3 Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census Bureau's March 2005 and 2006 Current Population Survey.

4 Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends. 2004 Medical Expenditure Panel Survey-Insurance Component.
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