a Highest level of income eligibility for Medicaid or CHIP as a percent of the federal poverty level (FPL).
b “Waiting period” refers to the length of time a state requires a child to be uninsured prior to enrolling in CHIP, although every state has exceptions. The ACA prohibited waiting periods longer than 90 days starting in 2014.
c “M” denotes 12-month continuous eligibility for Medicaid. “C” denotes 12-month continuous eligibility for CHIP. “n/a” denotes the state does not provide a separate CHIP program for uninsured children.
d These states cover immigrant children who have been lawfully residing in the U.S. for less than five years under the Immigrant Children’s Health Improvement Act (ICHIA) option with state funds.
e These states have expanded Medicaid to 138 percent of the FPL for all eligible adults in the state as of January 2020. When parents are covered, their children are more likely to also be covered.
Sources: Brooks, Tricia, Lauren Roygardner and Samantha Artiga. 2019. “Medicaid and CHIP Eligibility, Enrollment, Renewal, and Cost-Sharing Practices as of January 2019: Findings from a 50-State Survey.” Georgetown University Center for Children and Families and Kaiser Family Foundation. https://www.kff.org/medicaid/report/medicaid-and-chip-eligibility-enrollment-and-cost-sharing-policies-as-of-january-2019-findings-from-a-50-state-survey/; Kaiser Family Foundation. 2020. “Status of State Action on the Medicaid Expansion Decision, as of January 10, 2020. https://www.kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/.