Uses a Joint Renewal Form Under Medicaid for Children's Medicaid and CHIP-Funded Separate Program, December 2009
| Joint Renewal Form | Notes | |
|---|---|---|
| United States | 21 Yes Aligned Medicaid and separate CHIP | |
| Alabama | No | |
| Alaska | NA | |
| Arizona | No | |
| Arkansas | NA | |
| California | No | |
| Colorado | Yes | |
| Connecticut | No | |
| Delaware | Yes | |
| District of Columbia | NA | |
| Florida | No | |
| Georgia | No | |
| Hawaii | NA | |
| Idaho | Yes | |
| Illinois | Yes | |
| Indiana | Yes | |
| Iowa | No | |
| Kansas | Yes | |
| Kentucky | Yes | |
| Louisiana | Yes | |
| Maine | Yes | |
| Maryland | NA | |
| Massachusetts | Yes | |
| Michigan | No | |
| Minnesota | NA | |
| Mississippi | Yes | |
| Missouri | Yes | |
| Montana | No | |
| Nebraska | NA | |
| Nevada | No | |
| New Hampshire | Yes | |
| New Jersey | Yes | |
| New Mexico | NA | |
| New York | No | |
| North Carolina | Yes | |
| North Dakota | Yes | |
| Ohio | NA | |
| Oklahoma | NA | |
| Oregon | Yes | |
| Pennsylvania | No | |
| Rhode Island | NA | |
| South Carolina | Yes | |
| South Dakota | Yes | |
| Tennessee | No | |
| Texas | No | |
| Utah | No | |
| Vermont | Yes | |
| Virginia | No | |
| Washington | Yes | |
| West Virginia | No | In West Virginia, a simplified renewal form is used at every other CHIP renewal. The joint application form, printed in a different color, is used for all other CHIP and Medicaid renewals. |
| Wisconsin | NA | |
| Wyoming | No | |
| Notes: | Data as of December 2009. Joint renewal indicates that the same renewal form is used for children's Medicaid and CHIP. In a number of states, separate Medicaid and CHIP renewal forms can be used to determine eligibility for both programs, however for the purpose of this data, joint renewal indicates that the same form is used for the both programs. |
| Sources: | A Foundation for Health Reform: Findings of a 50 State Survey of Eligibility Rules, Enrollment and Renewal Procedures, and Cost-Sharing Practices in Medicaid and CHIP for Children and Parents During 2009. Data based on a national survey conducted by the Center on Budget and Policy Priorities for the Kaiser Commission on Medicaid and the Uninsured, December 2009. Available at http://www.kff.org/medicaid/7855.cfm. 2009 HHS Poverty Guidelines: http://aspe.hhs.gov/poverty/09poverty.shtml. |
| Definitions: | CHIP: Children's Health Insurance Program. |
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