Utah
Eligibility1
Children's
Medicaid2
|
Separate
Children's
SCHIP2
|
Pregnant
Women3
|
Parents4
|
0-5: 133%
6-19: 100%
|
200%
|
133%
|
41%
|
Enrollment Procedures for Children5
Program
Type6
|
Joint Application
|
Face-to-Face Interview
|
Asset Test7
|
Administrative
Verification of Income8
|
Presumptive Eligibility
|
S-SCHIP
|
No9
|
Yes10
|
$3,025
(Medicaid only)11
|
No
|
No
|
Renewal Procedures for Children5
Frequency of Renewal
(in months)
|
12-month
Continuous Eligibility
|
Joint Renewal Form
|
Face-to-Face Interview
|
Administrative
Verification of Income8
|
12
|
SCHIP only
|
No
|
No
|
SCHIP only12
|
Waiting Period
Waiting
Period
|
Length
|
Yes
|
90 days
|
Enrollment Procedures for Parents13
Family Application
|
Face-to-Face Interview
|
Asset Test7
|
No9
|
Yes14
|
$3,025
|
Renewal Procedures for Parents13
Frequency of Renewal
(in months)
|
Face-to-Face Interview
|
4-1215
|
No
|
Enrollment Procedures for Pregnant Women16
Presumptive
Eligibility
|
Asset Test17
|
Yes
|
$5,00018
|
Source: D. Cohen Ross, A. Horn & C. Marks, "
Health Coverage for
Children and Families in Medicaid and SCHIP: State Efforts Face New
Hurdles," Kaiser Commission on Medicaid and the Uninsured, (January
2008); updated by the Center for Children and Families.
Notes:
1: Income eligibility levels noted are in effect as of January 2008 and expressed as a percentage of the 2007 Federal Poverty Level (FPL), without regard to income disregards or deductions.
2: Income eligibility levels for children's Medicaid includes SCHIP-funded
Medicaid expansions; separate SCHIP programs are shown under children’s
SCHIP.
3: Pregnant women's income eligibility levels are shown for regular Medicaid and SCHIP (through the unborn child option).
4: Parents' income eligibility levels are shown for parents without earned
incomes (i.e., does not reflect earnings disregards used to determine
income eligibility for working parents) applying for comprehensive
Medicaid coverage based on a family size of three as of January 2008. Note that several states, including Utah, have established coverage for parents through waivers, however this coverage generally offers fewer benefits, higher cost-sharing, or is limited to premium assistance for employer-sponsored coverage.
5: Data as of January 2008 and information applies to both Medicaid and SCHIP, if applicable, unless otherwise noted.
6: Program type as approved by the Centers for Medicare and Medicaid Services as of March 1, 2008, as updated by the Center for Children and Families.
7: Asset limits noted are for a family of three.
8: In states with administrative verification, families do not have to provide verification of income, and such states generally verify this information by accessing data from other government agencies.
9: Families that use the SCHIP application but are found to be eligible for Medicaid must complete a Medicaid addendum before eligibility can be determined. The SCHIP application is only available during SCHIP open enrollment periods, during which, the Medicaid application can be used to apply for SCHIP.
10: In Utah, a face-to-face or telephone interview is required.
11: Asset limit applies only to children over age 6.
12: Unless income has changed. In Utah, families with children on SCHIP receive one of two renewal forms. One of the renewal forms requires families to provide verification of income only if income has changed. The other form, which is sent to families that have had a change in income during the previous year, requests income verification.
13: Data as of January 2008 and information for parents refer to enrollment/renewal procedures under regular Medicaid; some states have expanded Medicaid for parents (through waivers or state funds) and procedures under the expansion may be different than the procedures for regular Medicaid.
14: A face-to-face or telephone interview is required in Medicaid.
15: Renewal periods for parents vary from 4 to 12 months, based on stability of their income; more frequent renewals are required if income fluctuates.
16: Data as of January 2008.
17: With the exception of Arkansas, all states with an asset test for pregnancy coverage rely on a standard limit regardless of family size.
18: Pregnant women who exceed the asset limit may still qualify for coverage if they make a one-time payment of four percent of the value of their assets or $3,367, whichever is less.