Section 144-332-5-3 - BASIC ELIGIBILITY REQUIREMENTSTo be eligible for CHIP, individuals must meet the basic eligibility requirements for Medicaid coverage as identified in Part 2.
A.Children Excluded from Coverage1. A child who is eligible for coverage under a Medicaid program. This includes Transitional Medicaid (TM).2. A child age 19 and over.4. A child who is covered under a group health insurance plan through an employer.3. A child who is covered under health insurance as defined by the Health Insurance Portability and Administrative Act (HIPAA). This includes most insurance plans except for those covering one particular service or illness only, such as insurance for dental care or cancer. This exclusion applies regardless of whether the coverage is provided through an adult who resides with the child or through an adult living in another household.10-144 C.M.R. ch. 332, § 5-3