PCH-21865-1106, Determining Fair Market Value (FMV) for Residential and Nonresidential Properties (Issued July 1, 2024)
A child under 19 years of age is eligible. The age of a child does not need to be verified, unless questionable. Verification may be requested if discrepancies are discovered during the application or renewal process. Verification should be provided during the match through the SSA composite. However, if there are inconsistencies during the match, paper verifications may be requested.
CHIP coverage is provided for 12 consecutive months from the date of enrollment/renewal. Coverage is terminated on the last day of the calendar month in which the child turns 19.
When CHIP coverage is terminated due to a child turning 19 years old, the child will be screened for MA eligibility. Under no circumstances will a child remain enrolled in CHIP beyond the last day of the month in which the child turns 19.
A child enrolled in CHIP who is identified as being pregnant during their 12-month term of eligibility will receive 12 months of postpartum coverage. The child will remain in CHIP through the end of her 12-month postpartum period, regardless of turning 19 or non-payment of premiums.
EXAMPLE:
Joey is turning 19 on April 15. In the beginning of March, CHIP Application Processing Systems will conduct a sweep to identify all children that are turning 19 the next month. CHIP Application Process Systems will create a new Tax Household and follow MAGI methodology. If income is under the MA limits for this individual’s household, the individual will be referred to the CAO for an eligibility determination. Joey will be terminated due to aging out effective May 1. If the income exceeds the DHS limit, the child will be referred to the FFM by the CAO.
Issued March 31, 2023