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ELIGIBILITY CRITERIA
Residence: The applicant must live in the county in which s/he applies and must intend to remain there. Applicant may not move to the county for the program.
Household: A CIHCP household is a person living alone or two or more persons living together where legal responsibility for support exists, excluding disqualified persons. A disqualified person is one who receives or is categorically eligible to receive Medicaid.
Resources: A household is eligible if the total countable household resources do not exceed $3,00.00 when a person who is aged or disabled and who meets relationship requirements lives in the home or $2,000.00 for all other households.
Income:
A household is eligible if its monthly net income (unearned income) does not exceed 21% of the Federal Poverty Guideline (FPG).
A household is eligible if its monthly net income (earned income) does not exceed 50% of the Federal Poverty Guideline (FPG).
BASIC HEALTHCARE SERVICES
- Physician services include services ordered and performed by a physician that are within the scope of practice of their profession as defined by state law.
- Annual physical examinations are examinations provided once per calendar year by a physician or a physician assistant. Associated testing, such as mammograms, can be covered with a physician referral.
- Immunizations are given when appropriate.
- Medical screening services include blood pressure, blood sugar, and cholesterol screening.
- Laboratory and x-ray services are professional and technical serviced ordered and provided under the personal supervision of a physician in a setting other than a hospital (inpatient or outpatient).
- Family planning services are preventive health care services that assist an individual in controlling fertility and achieving optimal reproductive and general health.
- Skilled Nursing Facility (SNF) services must be medically necessary, ordered by a physician, and provided in the SNF that provides daily services on an inpatient basis.
- Prescriptions This service includes up to three prescription drugs per month. New and refilled prescriptions county equally toward this three prescription drugs per month total. Drubs must be prescribed by a physician or other practitioner within the scope of practice under law.
- Rural Health Clinic services must be provided in a freestanding or hospital-based rural health clinic by physician, a physician assistant, an advanced practice nurse, or a visiting nurse.
- Inpatient hospital services must be medically necessary and provided in an acute care hospital to hospital inpatients, by or under the direction of a physician, and for the care and treatment of patients.
- Outpatient hospital services must be medically necessary and provided in an acute care hospital to hospital outpatients, by or under the direction of a physician, and must be diagnostic, therapeutic, or rehabilitative. Outpatient hospital services include hospital-based ambulatory surgical center (HASC) services.
OPTIONAL HEALTHCARE SERVICE provided
- Limited eyecare pertaining to diabetes, glaucoma, and cataracts