S.D. Admin. R. 67:46:14:02

Current through Register Vol. 51, page 57, November 12, 2024

Section 67:46:14:02 - Eligibility requirements for nonmedicaid children's health insurance program

A child is eligible for the nonmedicaid children's health insurance program (CHIP-NM) if the child:

(1) Does not meet the financial eligibility criteria for the state's medicaid program;

(2) Is a member of a CHIP-NM family whose income, as defined in 42 C.F.R. § 435.603 (November 30, 2016), does not exceed two hundred and nine percent of the federal poverty guidelines;

(3) Is not a member of a CHIP-NM unit in which the child's parent or legal guardian is an employee of a public agency and eligible to participate in the state health insurance benefit plan;

(4) Is not covered under health insurance or a group health plan;

(5) Except for § 67:46:01:13, meets the requirements of chapter 67:46:01;

(6) Is not a resident of a public institution or a patient in an institution for mental diseases;

(7) Meets the residency requirements of §§ 67:46:01:17 to 67:46:01:28, inclusive; and

(8) Meets the other requirements of this chapter.

S.D. Admin. R. 67:46:14:02

26 SDR 168, effective 7/1/2000; 28 SDR 4, effective 7/1/2001; 41 SDR 7, effective 7/29/2014; 47 SDR 024, effective 9/10/2020; 51 SDR 052, effective 11/11/2024

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.

Federal poverty level, § 67:11:01:03; Determining size of nonmedicaid children's health insurance program family, § 67:46:14:05.