Information for Families:
Enrollment

CHIP coverage is prospective - relative to cut-off and when processing the application is complete.

Cut-off each month is approximately 10 calendar days from the end of the month.

Tentative Monthly Enrollment Cut-off Dates, 2008

Friday, September 19, 2008
Friday, October 17, 2008
Friday, November 14, 2008
Friday, December 19, 2008

Tentative Monthly Enrollment Cut-off Dates, 2009

Friday, January 16, 2009
Friday, February 13, 2009
Friday, March 20, 2009
Friday, April 17, 2009
Friday, May 15, 2009
Friday, June 19, 2009
Friday, July 17, 2009
Friday, August 21, 2009

New Application Enrollment

Once eligibility has been determined and a potential start date is established, the family receives a CHIP welcome letter, and enrollment form, and a payment coupon. The family must take the following steps to complete enrollment:

  • Select a health plan, if applicable
  • Select a primary care physician
  • Sign the enrollment form
  • Return the enrollment form by the due date
  • Pay the enrollment fee by the due date, if applicable

CHIP coverage cannot begin unless the family successfully completes the enrollment phase.

Pay CHIP enrollment fee by credit card

If CHIP receives and processes the enrollment forms/fees… Then coverage begins…
Before cut-off 1st day of the next month
After cut-off 1st day of the next process month

Families receive an enrollment confirmation notice when the enrollment process is complete. The notice states the enrollment start date for the children who are eligible, the health plan that was selected and the plan’s phone number, and what the family’s co-payments will be. A medical payment form is included with the notice for families to track their medical expenses.

Renewal Application Enrollment

Renewal enrollment is complete when the family:

  • Pays the enrollment fee by the due date, if applicable
  • Signs the enrollment form, if the family selects a new health plan
If CHIP receives and processes the enrollment fee… Then coverage begins…
Before cut-off in the 12th month of coverage 1st day of the following month
After cut-off in the 12th month of coverage 1st day of the next process month