DEPARTMENT OF HEALTH AND HUMAN SERVICES 
Centers for Medicare & Medicaid Services 
7500 Security Boulevard, Mail Stop S2-26-12 
Baltimore, MD 21244-1850 
 
Center for Medicaid, CHIP and Survey & Certification 
 
CMCS Informational Bulletin 
  
 
DATE:  December 27, 2010 
     
FROM:  Cindy Mann, JD  
  Director 
  Center for Medicaid, CHIP and Survey & Certification (CMCS) 
 
SUBJECT:  FY 2010 CHIPRA Performance Bonuses  
 
This Informational Bulletin is to announce the release of the FY 2010 Childrens Health 
Insurance Program Reauthorization Act (CHIPRA) Performance Bonuses.  We are pleased to be 
able to award over $200 million in bonuses to 15 States this year.  As you know, CHIPRA 
established Performance Bonuses to support State efforts to improve enrollment and retention of 
eligible children in Medicaid.  The Performance Bonuses provide additional federal funding for 
qualifying States that have taken specific steps to simplify Medicaid and CHIP enrollment and 
renewal procedures and have also increased Medicaid enrollment of children above a baseline 
level.  The amount of the award correlates with the percentage increase in enrollment above the 
baseline -- the more children States enroll, the higher the bonus.  States that achieve more than a 
10 percent increase in enrollment receive an even larger (Tier 2) bonus.  
 
The enrollment increases in the qualifying States ranged from 6% to 36%; and 10 of the 15 
States had enrollment increases of more than 10%, qualifying them for a Tier 2 award.  All 
States that received a Performance Bonus in 2009 qualified again for 2010; five of the States 
receiving bonuses this year are newly qualifying States.  
(See http://www.insurekidsnow.gov/images/chipra_award_chart_pdf.pdf for a detailed listing of 
each States bonus award criteria.)  The simplification measures that help States qualify for the 
bonuses will have a long-term positive impact on access to coverage and continuity of care into 
the future and moves us further down the path to 2014.  
 
The HHS Press Release announcing the bonuses is available at 
http://www.hhs.gov/news/press/2010pres/12/20101227a.html and the New York Times piece can 
be accessed at 
http://www.nytimes.com/2010/12/27/health/policy/27medicaid.html?_r=1&ref=politics 
 
 
 
 
 
 
 
 
  Page 2  CMCS Informational Bulletin 
 
A list of the States receiving FY 2010 Performance Bonuses is below.  A national summary Fact 
Sheet is available at  http://www.hhs.gov/news/press/2010pres/12/fy2010_chipra_factsheet.pdf  
and a State-by-State narrative can be accessed at 
http://www.hhs.gov/news/press/2010pres/12/fy2010_chipra_stateprofiles.pdf 
 
FY 2010 Performance Bonus Awards 
 
Alabama          $54,965,407 
Alaska   $ 4,408,789 
Colorado  $13,671,043 
Illinois   $14,962,171 
Iowa    $  6,760,901 
Kansas   $  2,578,099 
Louisiana  $  3,555,853 
Maryland  $10,549,086 
Michigan  $  9,268,552 
New Jersey  $  8,788,959 
New Mexico  $  8,553,431 
Ohio    $12,376,346 
Oregon    $15,055,255 
Washington     $17,607,725 
Wisconsin  $23,076,127 
Total:     $206,157,744 
 
 
The success of these 15 States complements other national and State efforts to enroll all eligible 
uninsured children in Medicaid and CHIP.  Under Secretary Sebelius Connecting Kids to 
Coverage Challenge, States, federal partners, and diverse organizations from throughout the 
country are taking action to get kids enrolled.  For more information on the Secretarys challenge 
visit www.insurekidsnow.gov. 
 
I hope you will find this information helpful.  Thank you for your continued commitment to the 
success of these critical health coverage programs and Happy New Year!