42 C.F.R. § 457.805

Current through May 31, 2024
Section 457.805 - State plan requirement: Procedures to address substitution under group health plans
(a)State plan requirements. The state plan must include a description of reasonable procedures to ensure that health benefits coverage provided under the State plan does not substitute for coverage provided under group health plans as defined at § 457.10 .
(b)Limitations. A State may not, under this section, impose a waiting period before enrolling into CHIP an eligible individual who has been disenrolled from group health plan coverage, Medicaid, or another insurance affordability program. States must conduct monitoring activities to prevent substitution of coverage.

42 C.F.R. §457.805

78 FR 42313, July 15, 2013, as amended at 81 FR 86466, Nov. 30, 2016
81 FR 86466, 1/20/2017; 89 FR 22877, 6/3/2024