South Dakota Administrative Rules
Title 67 - Department of Social Services
Article 67:46 - Eligibility for medical services
Chapter 67:46:14 - Children's health insurance (CHIP-NM)
Section 67:46:14:02 - Eligibility requirements for CHIP-NM
Current through Register Vol. 50, page 114, March 25, 2024
A child is eligible for CHIP-NM if the child meets the following criteria:
(1) Does not meet the financial eligibility criteria for the state's Medicaid program;
(2) Is a member of a CHIP-NM family whose income, as defined in 42 C.F.R. § 435.603, does not exceed 209 percent of the federal poverty guidelines;
(3) Is not a member of a CHIP-NM unit in which the child's parent or legal guardian is an employee of a public agency and eligible to participate in the state health insurance benefit plan;
(4) Is not covered under health insurance or a group health plan;
(5) Has not had insurance under a group health plan in the three-month period immediately prior to the date of application for CHIP-NM;
(6) Except for § 67:46:01:13, meets the requirements of chapter 67:46:01;
(7) Is not a resident of a public institution or patient in an institution for mental diseases;
(8) Meets the residency requirements of §§ 67:46:01:17 through 67:46:01:28; and
(9) Meets the other requirements of this chapter.
General Authority: SDCL 28-6-1(1)(4)(6).
Law Implemented: SDCL 28-6-1(1)(4)(6).
Federal poverty level, § 67:11:01:03; Determining size of CHIP-NM family, § 67:46:14:05.
