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TO:                   Healthy Connections Providers

 

FROM:              Kathleen P. Allyn, Deputy Administrator

       

On July 1, 2004, Idaho Medicaid implemented the new Children’s Health Insurance Program-Part B (CHIP-B).  Currently there are two types of CHIP programs:

  • CHIP-A covers eligible children at the same level of coverage as traditional Medicaid
  • CHIP-B provides limited medical coverage to qualified children

Effective August 1, 2004 your remittance and status report and roster will change to accommodate CHIP-B.

Your remittance and status report will have up to 3 different payouts associated with Healthy Connections case maintenance.  These payouts will display in the Financial Transactions section of your weekly remittance and status reports. Each type of payout is identified by a different financial reason code.

  • Financial reason code 126 is the HC payout for all clients enrolled in a traditional Medicaid program.
  • Financial reason code 127 is the HC payout for all clients enrolled in a CHIP-A program.
  • Financial reason code 129 is the HC payout for all clients enrolled in the CHIP-B program.

Your roster will change to include CHIP-B participants.  The new roster is separated into two categories, Medicaid and CHIP-B.  Within each of these categories the report displays new enrollees, ongoing enrollees, and dis-enrollments.

The Medicaid category includes both traditional Medicaid and CHIP-A participants. The CHIP-B category includes only CHIP-B participants.

If you have questions about the changes to your Remittance and Status Report or roster please contact your local Healthy Connections Representative. Healthy Connections Representatives’ contact numbers are published in the Idaho Medicaid Provider Handbook and the MedicAide newsletter.

You can find additional information about the CHIP-B program by selecting the CHIP quick link on the Idaho Department of Health and Welfare website at http://www.idahohealth.org.

 

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