U.S. flag

An official website of the United States government

MT-13-0010-MC1

Provides Assurance on Page CS15 That State will Apply Methodologies Based on MAGI for All Separate CHIP Covered Groups; Using the Approved MAGI Conversion Plan Income Thresholds.

MT-13-0011-MC2

Converts State's Existing Income Eligibility Standard to a Modified Adjusted Gross Income (MAGI) Equivalent Standard, by Age Group, for Children Covered in Its' Title XXI-Funded Medicaid Program.

MT-13-0012-MC3

Describes State's Plan to Provide Coverage in Its Separate CHIP as Specified in State's Submission of CS14: Children Ineligible for Medicaid as a Result of the Elimination of Income Disregards.

HI-14-0004-MC3

Describes State's Plan to Maintain Medicaid Eligibility for Children Who Would Otherwise Be Subject to Section 2101(f) of the Affordable Care Act, As Specified in the State's Submission of CS-14: Children Ineligible for Medicaid As a Result of Elimination of Income Disregards.