The Children’s Health Insurance Program (CHIP) is Pennsylvania’s health insurance program for uninsured children and teens up to age 19. CHIP provides a comprehensive array of benefits, including check-ups, dental care, therapies, prescription medications, and mental health treatment. For children in low-income families, CHIP is free. For children in higher-income families, CHIP has a sliding scale monthly premium based on household income and a requirement that the child has been without health insurance for at least six months.
Children Transitioning from CHIP to Medicaid
Under the Affordable Care Act, children ages 6 to 19 with family income between 100 and 133% of the federal poverty level will be eligible for Medicaid effective January 1, 2014. Children now enrolled in CHIP will transition to Medicaid and will need assistance in maintaining their health care providers, their care plans and their medical home. PHLP along with Community Legal Services, the Pennsylvania Chapter of the American Academy of Pediatrics, Pennsylvania Partnerships for Children and Public Citizens for Children and Youth have made a set of recommendations to assure a smooth transition for children moving from CHIP to Medicaid.
PHLP publications are intended to provide general legal information, not legal advice. If you have questions about how the law applies to your particular situation, please consult a lawyer or call the Helpline at 1-800-274-3258.