Children's Health Insurance Program (CHIP)
Department of Health and Human Services
Children’s Health Insurance Program (CHIP) is a joint federal/state program, administered by the states that provides health insurance for qualifying children.
Agency Accountable Official: Ellen Murray , Assistant Secretary for Financial Resources
Program Accountable Official: Peter Budetti, Deputy Administrator for Program Integrity, Centers for Medicare & Medicaid Services
Note: Note: HHS calculated and is reporting a single-year national error rate based on the 17 states measured in Fiscal Year (FY) 2012. The baseline measurement for CHIP, based on the measurement of 50 States and the District of Columbia over a three-year period (FYs 2012 – 2014), will be published in the FY 2014 Agency Financial Report (AFR). Once all states have been measured for CHIP under PERM and a three-year baseline rate is established, HHS will publish out-year targets for CHIP.
The Children's Health Insurance Program (CHIP) is a state and federal partnership that provides low-cost health insurance coverage for children in families who earn too much income to qualify for Medicaid but cannot afford to purchase private health insurance coverage. States have considerable flexibility to establish income eligibility rules for the program, but children enrolling must be otherwise uninsured. Within federal guidelines, each state determines the design of its individual program, including eligibility parameters, benefit packages, payment levels for coverage, and administrative procedures. States have flexibility in designing the benefit package, but states are required to cover routine check-ups, immunizations, dental, inpatient and outpatient hospital care, and laboratory and x-ray services. Preventive care must be provided at no cost to the family; but premiums and other cost-sharing may be required for other services, within certain limits.
The Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) prohibited the Department of Health and Human Services (HHS) from calculating or publishing error rates for the program until six months after a final rule was published. The Department of Health and Human Services published a final rule in the summer of 2010 and reported an improper payment estimate in FY 2012 for the first time since FY 2008. Read More...