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The State Children's Health Insurance Program (CHIP) is a
means-tested program that provides health coverage to targeted
low-income children and pregnant women in families that have annual
income above Medicaid eligibility levels but have no health
insurance. CHIP is jointly financed by the federal government and
states, and the states are responsible for administering CHIP.
Under the CHIP program, the federal government sets basic
requirements for CHIP, but states have the flexibility to design
their own version of CHIP within the federal government's basic
framework. As a result, there is significant variation across CHIP
programs. This book describes the basic elements of CHIP, focusing
on how the program is designed, who is eligible, what services are
covered, how enrollees share in the cost of care, and how the
program is financed. The book also includes a brief discussion of
the future of CHIP. Furthermore, this book examines provisions of
H.R. 2, which is the Medicare Access and CHIP Reauthorization Act
(MACRA) of 2015; CHIP financing, beginning with an explanation of
the federal matching rate; and the ACA MOE requirement for children
if federal CHIP funding expires.
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