Premiums and selected cost sharing in ALL Kids, 2019
|Family Income Level
||$52 per year
||$200 per admission
||$104 per year
||$200 per admission
Not to exceed $156/family per year for family income level of <156% FPL, and not to exceed $312/family per year for family income level of 157- 312% FPL. No family is charged more than three premiums even if the family has more than three children.
Strategies to Simplify Enrollment and Renewals in Alabama
|Use of presumptive eligibility
|Use of 12-month continuous eligibility
|Use of express lane eligibility
For definitions of strategies in this chart, see the Centers for Medicare & Medicaid Services December 2009 State Health Official letter here.
Other Characteristics of Alabama’s CHIP Program
|Require a waiting period?
|Offer a buy-in option?
|Cover dependents of public employees?
|Cover lawfully residing children without a five-year waiting period?
Source: Medicaid and CHIP Eligibility, Enrollment, and Cost Sharing Policies as of January 2019: Findings from a 50-State Survey. Kaiser Family Foundation and Georgetown University Center for Children and Families.
Health Services Initiatives
Through CHIP, states can develop Health Services Initiatives (HSIs) to improve the health of low-income children and youth. HSIs are funded using a portion of a state’s existing CHIP administrative dollars, which are limited to no more than 10 percent of a state’s total CHIP allotment for a fiscal year. After covering regular CHIP program administrative costs, states can use any remaining funds – within the 10 percent cap – for an HSI project. The federal share of the HSI project cost is funded at the state’s CHIP match rate. States have used HSIs to support poison control centers, school health services, lead abatement efforts, and other unique prevention and intervention projects. Alabama currently does not have an HSI.
States may report on a core set of quality measures for children. Alabama reported on 24 measures for federal fiscal year 2018. Among the measures is access to primary care providers, listed below.
Percentage of children and adolescents visiting a primary care provider, by age (FFY 2018)
||12 – 24 months
||25 months – 6 years
||7 – 11 years
||12 – 19 years
Source: Department of Health and Human Services, 2019 Annual Reporting on the Quality of Care for Children in Medicaid and CHIP, September 2019. The measure is for the percentage of children ages 12 to 24 months and 25 months to 6 years who visited a primary care provider within the past year; and every two years for children ages 7 to 11 years and 12 to 19 years. Note: This includes CHIP data only.
 Information from the state: Presumptive eligibility is used only in the Medicaid expansion CHIP program.
 Information from the state: Express lane eligibility is used only in the Medicaid expansion CHIP program.
 States may implement waiting periods up to 90 days in CHIP. A waiting period is the length of time a child must be uninsured before enrollment in CHIP.
 States can allow families with incomes above the upper income eligibility limit to pay the full cost to purchase coverage for their uninsured children through CHIP.