Revision 18-4; Effective October 1, 2018
There are two types of cost share obligations – enrollment fees and copayments. Most CHIP eligible households are subject to cost share obligations. Exceptions:
- households with gross income at or below 151% of the Federal Poverty Income Limit (FPIL) are not subject to an enrollment fee;
- American Indians and Alaska Natives are exempt from all cost sharing. American Indian or Alaska Native status is self-declared on the application. If one child within the household is an American Indian or Alaska Native, the entire household application has American Indian or Alaska Native status; and
- unaccompanied refugee minors are exempt from all cost sharing.
Cost sharing is processed by the Enrollment Broker.
CHIP perinatal recipients are not subject to cost share obligations. Perinatal recipients do not pay enrollment fees or copayments.