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CoverKids
  • Application
  • Eligibility
  • Copays
  • Frequently Asked Questions
  • How to File an Eligibility Appeal
  • Income Guidelines
  • Managed Care Information
  • Medical Service Appeal Form
  • More Information
  • Providers Expedited Appeal Certificate
  • State Plan
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CHIP State Plan

State Plan

Additional Pages Page(s) Included  
MAGI Eligibility & Methods CS7, CS9, CS10, CS15  
Non-Financial Eligibility CS17, CS18, CS19, CS20, CS27  
Eligibility Processing CS24  
2101(f) Group CS14  
Title XXI Expansion CS3  
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  • 1095-B Health Coverage Tax Document
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