Idaho Admin. Code r. 16.03.18.200

Current through September 2, 2024
Section 16.03.18.200 - PREMIUMS FOR PARTICIPATION UNDER THE STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP)
01.Household Income Above 133% of FPG. Participants with household income above one hundred thirty-three percent (133%) and equal to or less than one hundred fifty percent (150%) of the current FPG pay a monthly premium of ten dollars ($10) to the Department.
02.Household Income Above 150% of FPG. Participants with household income above one hundred fifty percent (150%) and equal to or less than one hundred eighty-five percent (185%) of the current FPG pay a monthly premium of fifteen dollars ($15) to the Department.
03.Premium Recalculation. Premiums are recalculated at each annual eligibility redetermination. If the Department receives verification of a reduction in household income prior to annual eligibility redetermination, the premium is recalculated. The Department waives any premium for participants who become eligible for Title XIX Medicaid.
04.Premium Reduction. The monthly premium for SCHIP participants may be reduced by ten dollars ($10) per month under IDAPA 16.03.09, "Medicaid Basic Plan Benefits."

Idaho Admin. Code r. 16.03.18.200

Effective July 1, 2024