States have the option to expand Medicaid, create separate programs, or use a combination of these approaches for CHIP. This analysis does not include the 8 states and the District of Columbia that use CHIP funding solely to expand their Medicaid programs for children (AK, CA, DC, HI, MD, NH, NM, OH, and SC). We also excluded separate CHIP programs that offered only premium assistance or had limited eligibility criteria, such as those that only covered pregnant women, unborn children, children with disabilities, or children who were new lawful residents (these criteria apply to MN, NE, OK, and RI). Finally, this analysis only includes states that use a managed care delivery system in CHIP (AL, AR, CT, ID, ME, MS, MT, NC, SD, TN, VT, WV, and WY are excluded as they use only fee-for-service or primary care case management delivery systems in CHIP). NASHP obtained 2015 data on separate CHIP issuers from state CHIP officials and data on marketplace issuers from data.healthcare.gov and state marketplace websites between January and March 2015. This analysis provides a state-by-state look at separate CHIP managed care plan issuers and marketplace issuers, but does not identify whether those issuers operate on a statewide basis or in limited areas of the state.
This work was conducted as part of NASHP’s Children in the Vanguard initiative with support from The Atlantic Philanthropies.