Do states that currently do not have a separate CHIP or whose separate CHIP only serves a limited population need to create a separate CHIP for this population?

Yes, children protected by section 2101(f) must be enrolled in a separate CHIP. A state could design its CHIP program to operate in the same manner with respect to this population as the state's existing title XXI Medicaid expansion program (as a Medicaid look-alike program) so as to reduce administrative burden for states and confusion for families.

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