DEPARTMENT OF HEALTH & HUMAN SERVICES 
Centers for Medicare & Medicaid Services 
7500 Security Boulevard, Mail Stop S2-26-12 
Baltimore, Maryland   21244-1850 
 
 
Medicaid and CHIP FAQs: Funding for the New Adult Group, 
Coverage of Former Foster Care Children and CHIP Financing 
December 2013  
 
Funding for the New Adult Group 
 
Q1:  What do states need to do to assure availability of federal funding for the new adult 
group in 2014?  
 
A1: We are working with states to help them complete all of the steps needed to implement the new 
adult group on January 1, 2014.  States need to make changes and updates to their Medicaid state 
plan (and sometimes waiver programs) as expeditiously as possible, so they can accurately 
determine who is eligible, assist individuals with enrollment, contract with health care plans, 
provide access to quality care health care for their beneficiaries, and receive federal financial 
assistance for these costs.  They will also need to submit state plan amendments (SPAs) describing 
how they will claim the appropriate federal medical assistance percentage (FMAP) for expenditures 
for the new adult group.  In addition, states will need to submit their budget estimates related to the 
new adult group, so CMS can provide funding at the appropriate levels. 
 
Q2:  Can you describe the process for providing funding for the new adult group? 
 
A2: As states compile their budget estimates for the first calendar quarter of 2014, or for future 
quarters, states that will adopt the new adult group should include in those estimates the impact of 
the increased newly eligible FMAP rates available for the new adult group.  CMS typically issues 
quarterly grant awards prior to the beginning of the quarter, so that states can make payments to 
Medicaid providers during the quarter.  We will issue grant awards associated with expenditures 
related to the new adult group once eligibility SPAs reflecting the new adult group have been 
approved and the associated FMAP SPAs have been submitted.   
 
For states that have not yet reached these milestones, CMS can quickly issue supplemental grant 
awards once the new adult group SPA is approved and the FMAP SPA is submitted.  States 
expanding coverage are likely to achieve these milestones early in the quarter but, as always, SPAs 
do not need to be submitted until the end of the quarter to be made effective retroactively to the 
beginning of the quarter.  CMS is working with states to secure approval of new adult group 
eligibility SPAs on an expedited basis, and will provide technical assistance as needed so that states 
can submit their FMAP SPAs in a timely manner.  
 
After the grant award reflecting estimated new adult expenditures is issued, states will be able to 
draw down federal funds during the quarter, in advance of submitting claims for such expenditures.   
Finally, as is our regular process, states can begin claiming for expenditures made during the quarter 
following the close of the quarter, subject to approval of all required eligibility, benefit, and FMAP 
SPAs. States that do not have approved SPAs can claim retroactively after approval is granted, as 
long as timely filing requirements are met. States with waivers should note that, as always, waivers are prospective only  so any waiver 
changes need to be submitted and approved by January 1, 2014 if a state is trying to make coverage 
effective on that date. 
 
Q3:  How will the grant funding process accommodate delays related to the milestones 
referenced above for the new adult group with respect to the SPAs or the funding requests? 
 
A3:  Typically, grant awards exclude any amounts associated with unapproved SPAs.  If the 
eligibility SPA for a state is approved after the initial grant award to the state was issued (and 
which, therefore, would not have included amounts for the new adult group), the state could 
subsequently submit a request for additional funds at any time during the quarter once the eligibility 
SPA was approved.  We consider the approval of the eligibility SPA for the new adult group to 
provide the necessary basis and authority for this grant action.  However, to ensure that states 
demonstrate they will be able to claim federal funds properly, grant awards will also be contingent 
upon the submission (but not approval) of an FMAP claiming SPA.  These steps will enable states 
to draw down federal funds during the quarter.  However, states must still have all applicable SPAs 
(eligibility, benefits, and FMAP) approved before they claim expenditures on the CMS-64 after the 
quarter has closed.  If they dont, they can claim retrospectively once approval is granted, as long as 
timely filing requirements are met. It is important to note that retroactive claiming is not possible 
when eligibility is triggered by a section 1115 waiver.  
 
Q4: What FMAP applies to women enrolled in the new adult group who become pregnant? 
 
A4: We noted in a previous FAQ released on May 22, 2012 (available at: 
http://www.medicaid.gov/state-resource-center/FAQ-medicaid-and-chip-affordable-care-act-
implementation/downloads/Eligibility-Policy-FAQs.pdf), states are not required to track the 
pregnancy status of women enrolled in the adult group, and are not required to move them to the 
eligibility group for pregnant women if the state becomes aware of their pregnancy outside of the 
regular redetermination process.  Women who become pregnant must be given the option of 
moving to the pregnancy-related coverage category, and states must inform women of the 
differences in coverage between the adult group and pregnancy-related coverage (including any 
differences in benefits, premiums and cost sharing) so that pregnant women can make an informed 
choice about reporting the pregnancy and changing their eligibility status between regular 
renewals.  We clarify that, at a regularly scheduled renewal, states must determine whether a 
current beneficiary enrolled in the adult group meets all eligibility criteria to remain eligible in the 
adult group.  If at that time the state is aware that a woman is pregnant (either because of ex parte 
information confirmed during the renewal process by the state or through the return of a pre-
populated renewal form from the woman), she no longer would meet the requirements for 
eligibility under the new adult group and, if otherwise eligible for coverage based on pregnancy, 
must instead be enrolled in the pregnant womens group.   
 
The state may give a pregnant woman the option to remain enrolled in the same alternate benefit 
package she is enrolled in through the new adult group, to minimize any disruption to her coverage 
or access to providers.  Note that if the state covers any additional benefits for pregnant women 
under 42 CFR 440.250(p) not provided to other individuals eligible under the state plan, such 
benefits also must be provided to pregnant women enrolled in such alternative benefit package. 
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Between regular renewals, if a woman enrolled in the adult group who becomes pregnant does not 
elect to switch groups and remains in the adult group, her status for FMAP purposes (as newly 
eligible or not) is unchanged until her next regularly scheduled redetermination.  If, consistent with 
the policy described above, her enrollment is transferred to the pregnant womens group either 
prior to or at the point of her regular renewal, regular FMAP would apply because she would no 
longer be in the adult group.  
    
Q5: What is the FMAP applicable for medical assistance authorized under section 1903(v)(2) 
of the Social Security Act that may be provided to low-income adults with income up to 133 
percent FPL? 
  
Q5: Section 1903(v)(2) of the Social Security Act limits the availability of federal Medicaid 
matching funds for states' expenditures for medical assistance for certain individuals  
to expenditures for services furnished to treat an emergency medical condition.  If such individuals 
meet the eligibility criteria for  the Medicaid new adult group in the state to be considered "newly 
eligible" under the states FMAP methodology for the new adult group, state expenditures 
consistent with section 1903(v) are matched at the newly eligible FMAP described in section 
1905(y).  This treatment for purposes of federal reimbursement is consistent with current law and 
regulation. 
 
Eligibility for Former Foster Care Children 
 
Q1: Who is eligible under the eligibility group for former foster care children? 
  
A1: Section 2004 of the Affordable Care Act added a new mandatory group for former foster care 
children at section 1902(a)(10)(A)(i)(IX) of the Social Security Act (the Act).  Proposed 42 CFR 
435.150 of the January 22, 2013 proposed rule, available at 
http://www.gpo.gov/fdsys/pkg/FR-2013-01-22/pdf/2013-00659.pdf, would codify the provisions of 
section 1902(a)(10)(A)(i)(IX).   Under the statute, states must cover individuals under age 26 who 
were both enrolled in Medicaid and in foster care under the responsibility of the state or tribe upon 
attaining either age 18 or such higher age as the state or tribe has elected for termination of federal 
foster care assistance under title IV-E.  We are interpreting the statute also to permit states, at their 
option, to cover individuals who were in foster care and receiving Medicaid in another state upon 
turning 18 or aging out of foster care in the other state, but are not required to do so. There is no 
income test for eligibility under this group. 
 
Q2: Can states cover individuals who left foster care before age 18, or who were not in foster 
care and Medicaid either upon turning 18 or upon aging out of foster care at a higher age, 
under this group?   
 
A2:   States cannot cover individuals who left foster care before aging out under the former foster 
care children group.  Section 1902(a)(10)(i)(IX) of the Act only provides Medicaid eligibility for 
individuals who were in foster care when they turned 18 or such higher age when the states foster 
care assistance ends.  Individuals who left foster care before age 18, or who were not in foster care 
and Medicaid either upon turning 18 or upon aging out of foster care at the higher age elected by 
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  the state, are not eligible for coverage under this group.  However, these individuals may be eligible 
under a different eligibility group.  
 
Q3: The proposed rule at 435.150 discusses the option for states to cover individuals who 
were in foster care and receiving Medicaid in another state upon turning 18 or aging out of 
foster care in the other state.  However, proposed 435.150 was not included in the July 15, 
2013 rule and therefore has not been finalized.  Can states exercise this option before CMS 
issues a final regulation for 435.150? 
 
A3:  Yes, we will approve state plan amendments to cover individuals who were in foster care and 
receiving Medicaid when they turned age 18 or aged out of foster care in another state.  This 
option is provided in the state plan amendment (SPA) page (S33) for this group. Because this 
provision has not yet been finalized, if 435.150 is later finalized in such a way that conflicts with 
the states approved state plan amendment, a subsequent amendment to the state plan may be 
necessary (see 42 CFR 430.12(c)(1)(i)).  The state would be able to receive federal financial 
participation for expenditures under an approved SPA if the policy later changed, until the state 
(within a reasonable period of time) had submitted a new SPA and modified its policies and 
procedures to comply with such change in federal policy. 
 
Q4: Does the former foster care group cover individuals who turned 18 or aged out of foster 
care prior to January 1, 2014? 
 
A4:  Yes.  Effective as of January 1, 2014, coverage is available to individuals under age 26 who 
meet the eligibility requirements described above.  For example, an applicant who is 23 years old in 
January 2014 and who was in foster care and receiving Medicaid at the time he or she turned 18 
(back in 2009) will be eligible for coverage under the former foster care group. 
 
Q5: If an individual who aged out of foster care at age 18 and was receiving Medicaid 
in the state at that time applies for Medicaid at age 24, would she be eligible under this    
group?  
 
A5: Yes. 
 
Q6:  Are individuals who were in foster care and enrolled in Medicaid when they turned age 18 
or aged out of foster care in a different state eligible under this group? 
 
A6:  We do not believe the statue requires states to cover, under this group, individuals who were in 
foster care and enrolled in Medicaid when they turned age 18 or aged out of foster care in a different 
state.  However, we believe the statute provides states the option to do so.  As noted above, pending 
publication of a final regulation at 435.150, states may exercise the option proposed when they 
complete SPA page S33 for this group. 
 
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  Q7:  At what age do individuals become ineligible for, or age out of, Title IV-E foster care 
assistance?  
 
A7:   Title IV-E foster care stops either when the individual attains age 21 or attains age 20, 19, or 
18, as specified in the states IV-E state plan. 
 
Q8:  Who is considered to have be in foster care for purposes of eligibility under this group? 
Are children placed with a relative or in another non-licensed out-of-home placement, with 
respect to whom foster care payments are not being made, considered to be in foster care? 
 
A8:  According to federal regulations at 45 CFR 1355.20, Foster care means 24-hour substitute care 
for children placed away from their parents or guardians and for whom the [state or tribal] agency 
has placement and care responsibility. This includes but is not limited to, placements in foster family 
homes, foster homes of relatives, group homes, emergency shelters, residential facilities, child care 
institutions, and preadoptive homes. A child is in foster care in accordance with this definition 
regardless of whether the foster care facility is licensed and payments are made by the State, Tribal 
or local agency for the care of the child, whether adoption subsidy payments are being made prior to 
the finalization of an adoption, or whether there is Federal matching of any payments that are made.   
 
Receipt of foster care maintenance payments is not required for a child to be considered in foster 
care under this definition.  Thus, children placed with a relative or in another non-licensed out-of-
home placement, with respect to whom foster care maintenance payments are not being provided, 
may be considered to be in foster care according to this definition if they are also under the 
placement and care of the state or tribal agency.   
 
This definition of foster care is contained in regulations implementing titles IV-B and IV-E of the 
Social Security Act.  However, because the federal regulations implementing titles IV-B and IV-E 
require state and tribal title IV-E agencies to agree to certain program requirements for all children in 
foster care, this definition applies to all foster care provided in a state or tribe, even that which is 
provided without federal financial participation. 
 
Q9:  Are individuals with respect to whom federal guardianship payments under section 473(d) 
of title IV-E of the Social Security Act were being paid and who were receiving Medicaid when 
the individual turned 18 (or such higher age as the state elected under title IV-E) eligible for 
coverage under the former foster care group? 
 
A9: No.  Federal guardianship assistance payments provided under section 473(d) of title IV-E of the 
Act are not considered federal foster care maintenance payments.  Because the title IV-E agency no 
longer has placement and care responsibility for youth receiving such payments, these youth are not 
considered to be in foster care and therefore would not be eligible for coverage under the former 
foster care group. 
 
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  Q10:  Do MAGI-based methodologies apply to determining eligibility for the group for former 
foster care children up to age 26?  Will states need to consider their parents' income? 
 
A10:  There is no income test for eligibility under this new mandatory group for former foster care 
children.  Therefore, MAGI-based methodologies are not relevant and states do not need to consider 
the parents (or even the individuals own) income for purposes of Medicaid eligibility. 
 
Q11:  Are states permitted to apply an asset test for eligibility under the group for former 
foster care children?   
 
A11:  No.  States may not impose an asset test for eligibility under the former foster care group. 
 
Q12:  What is the difference between the mandatory group for former foster care children 
under section 1902(a)(10)(A)(i)(IX) (proposed 435.150) and the optional group for 
independent foster care adolescents under section 1902(a)(10)(A)(ii)(XVII) (proposed 
435.226)?  Can states that currently cover the optional group delete it from their state plan? 
 
A12:  While there is significant overlap in eligibility under the two groups, the mandatory group for 
former foster care children does not completely subsume or replace coverage under the optional 
group, and states that currently cover the optional group for independent foster care adolescents must 
continue to do so until the maintenance of effort for individuals under age 21 has expired in 
accordance with section 1902(gg) of the Act. 
 
The coverage of former foster care individuals ages 18-25, set forth at proposed 435.150, covers 
individuals who were either receiving IV-E or non-IV-E foster care and were enrolled in Medicaid 
either when they turned age 18 or aged out of foster care.  As noted in an earlier question, states have 
the option, but are not required, to cover individuals who were in foster care and enrolled in 
Medicaid in another state when they turned 18 or aged out of foster care. 
 
The optional coverage for independent foster care adolescents, set forth at proposed 435.226, covers 
individuals age 18-20 who were in IV-E or, at state option, non-IV-E foster care when they turned 
age 18.  Eligibility under the optional group does not require the individual to have been enrolled in 
Medicaid when they turned 18, nor are they required to have been in foster care in the same state in 
which they are seeking coverage under this group.  Unless the state has elected to eliminate the 
income test for this group (by disregarding all income under section 1902(r)(2) of the Act), eligibility 
for this optional group is subject to the MAGI-based methods described at 435.603. 
 
As noted, the mandatory group will largely subsume the optional group, but there are some 
differences: 
  The mandatory group at 435.150 must be applied to individuals who were in state-only 
funded or IV-E foster care.  The optional group at 435.226 applies to individuals who were 
receiving IV-E foster care and, at state option, individuals who were in state foster care.  
  The mandatory group requires that the individual have been enrolled in Medicaid while in 
foster care when s/he turned 18 or aged out of foster care; the optional group only requires 
that the individual have been in foster care when they turned 18. 
  Eligibility for the mandatory group goes up to age 26; the optional group goes up to age 19, 
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  20, or 21 (state option). 
  There is no income test for the mandatory group. There is an income test for the optional 
group.  Currently, the income standard for the optional group is based on the AFDC 
payment standard, although most states that cover this group apply a block of income 
disregard under section 1902(r)(2) of the Act to raise the effective income standard, and in 
some cases to eliminate it.  This standard will be converted to a MAGI-equivalent standard 
effective in 2014, and additional disregards will no longer be permitted.  States that have 
effectively eliminated any income test for this optional group may continue that policy in 
2014.   
 
Q13:  Are individuals eligible for Medicaid under the former foster care group eligible for 
EPSDT? 
 
A13:  Individuals under age 21 who are eligible under the group for former foster care children are 
covered for EPSDT services.  Individuals ages 21  25 who are eligible under this group are not 
covered for EPSDT services. 
 
Q14:  Does this eligibility category effectively impose a requirement on states to maintain a 
roster of former foster care young adults receiving Medicaid when they turned age 18 or aged 
out at a higher age, which states would need to check for all applicants under age 26? If not, 
how can states operationalize eligibility under this group? 
 
A14:  States have broad flexibility under the final regulations at 435.956 regarding verification of 
non-financial eligibility requirements, other than citizenship and immigration status.  States may, for 
example, accept self-attestation of the former foster care status and enrollment in Medicaid required 
for eligibility under this group.   
 
In addition, 435.952(c)(2)(ii) provides that the state may not require paper documentation unless 
electronic data to verify the individuals status as a former foster care individual is not available and 
establishing such a data match would not be effective.  States that do not currently have an electronic 
data base that could be used for verifying an applicants former status as a foster care child receiving 
Medicaid should consider the effectiveness of developing such capability in accordance with the 
regulations.  The 90/10 federal match for systems development would be available for this purpose 
through December 2015, as outlined in 42 CFR Part 433, available at 
http://www.gpo.gov/fdsys/pkg/FR-2011-04-19/pdf/2011-9340.pdf. 
 
We note that, over time, verification of former foster care status may become less important at the 
point of application because, in accordance with sections 471(a)(16) and 475(1)(D) and (5)(H) of the 
Act, Title IV-E/B agencies are required to assist and support a foster youth in developing a transition 
plan during the 90-day period before the youth attains age 18, or if applicable, before the later age 
elected by the state or tribe, that addresses specific options for the youth, including health insurance 
coverage. We encourage child welfare agencies and state Medicaid agencies to begin incorporating 
coverage under this group in the transition planning for foster care youth as soon as practicable. 
More information about transition planning requirements for youth in foster care can be found in 
Section C of ACYF-CB-PI-10-11, available at 
http://archive.acf.hhs.gov/programs/cb/laws_policies/policy/pi/2010/pi1011.htm. 
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Q15:  Can individuals who meet the requirements both for the group for former foster care 
children and the new adult group at 42 CFR 435.119 be enrolled in either group?   
 
A15:  No.  In accordance with section 1902(a)(10)(G) of the Social Security Act, eligibility under the 
group for former foster care children takes precedence over eligibility under the new adult group.  
Thus, individuals who meet the requirements for both of these groups must be enrolled under the 
group for former foster care children.   
 
Q16:  Is the 100% federal matching rate (FMAP) available for individuals who are newly-
eligible under the former foster care group?   
 
A16:  No.  Under the law, the states regular federal matching rate applies for individuals eligible 
under the former foster care group. 
 
CHIP Financing 
 
Q1:  How did the Affordable Care Act (ACA) revise funding for the Childrens Health 
Insurance Program (CHIP) under title XXI of the Social Security Act? 
 
A1:  Section 2101(a) of the Affordable Care Act amended section 2104(a) of the Social Security Act 
to extend title XXI funding for states CHIP fiscal year allotments through September 30, 2015, the 
end of federal fiscal year (FY) 2015.  The new law also amended section 2105(b) of the Social 
Security Act to increase the enhanced Federal Medical Assistance Percentage (Enhanced FMAP) rate 
by 23 percent applicable for certain expenditures for the period FY 2016 through FY 2019, but in no 
case will the enhanced FMAP exceed 100 percent. In the absence of additional legislation, the FY 
2015 allotments would continue to be available through September 30, 2016.   The Secretary also has 
the authority to redistribute prior unexpended allotments to states experiencing shortfalls.   
 
Q2:  Will states have an opportunity to expand CHIP eligibility coverage levels above 200 
percent of the Federal Poverty Level (FPL) not to exceed 300 percent of the FPL using block 
disregards before December 31, 2013, the date for which Modified Adjusted Gross Income 
(MAGI) applies? 
 
A2:  Yes.  States have a limited opportunity to expand CHIP eligibility without a section 1115 
demonstration (through the use of a block of income disregard) that will then get incorporated into a 
MAGI converted eligibility level. Any state interested in expanding CHIP eligibility above 200 
percent of the FPL must submit a state plan amendment (SPA) before December 31, 2013.  After 
such time, states could expand eligibility through a demonstration.  (Of course, if a state has not 
already expanded eligibility to 50 percentage points above the MAGI-converted Medicaid income 
level that was in effect in 1997, that option for expansion without demonstration authority will 
remain available after December 31, 2013.) 
 
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  Q3:  Will the expenditures for children currently enrolled in a separate CHIP whose income is 
up to 133 percent of the FPL, who are transitioned to the Medicaid program beginning 
January 1, 2014 under the mandatory eligibility group for poverty-level related children 
required under section 1902(a)(10)(A)(i)(VII) of the Act, be eligible for the CHIP enhanced 
FMAP after such transition?  
 
A3: Yes.  The CHIP enhanced FMAP will continue to be available for the expenditures for children 
shifted from CHIP to Medicaid, as long as their income is greater than the states March 31, 1997 
Medicaid income standard for children.  In other words, if CHIP funding was available for this group 
of children when they were covered in a separate CHIP, it will continue to be available when the 
children are covered under Medicaid. The CHIP enhanced FMAP is available for uninsured children 
whose income exceeds that income standard, whether the children previously qualified for or were 
enrolled in a separate CHIP program or not.     
 
Q4:  Are states required to cover new applicants who have insurance under the mandatory 
coverage level for children ages 6-18 in Medicaid up to 133 percent FPL? 
 
A4: Yes, consistent with Medicaid coverage rules. States must cover children ages 6-18 in the new 
mandatory Medicaid group and Medicaid is the secondary payer to other insurance. All children 
must be covered without regard to their insurance status but title XIX funds must be used to cover 
such children who have creditable health insurance. 
 
Q5:  Will states be eligible to receive the enhanced CHIP FMAP for children who were 
previously eligible for CHIP but will now be enrolled in Medicaid as a result of the 5 percent 
disregard (applied to the Medicaid upper income threshold for children)? 
 
A5:  Yes.  As with children who move from a separate CHIP to Medicaid because of the change in 
Medicaid eligibility to 133 percent FPL, children moving from CHIP to Medicaid because of the 
application of the 5 percent disregard may also be funded through title XXI.   
 
Q6:  Will states be eligible to receive the enhanced CHIP FMAP for children who lose 
Medicaid eligibility due to the elimination of income disregards as a result of the conversion to 
MAGI under 2101(f)? 
 
A6:  Yes. As stated in the Frequently Asked Questions pertaining to this provision posted on April 
25, 2013, states may claim the enhanced match available under title XXI for children who lose 
Medicaid eligibility due to the elimination of income disregards as a result of the conversion to 
MAGI.  These children now meet the definition of a targeted low-income child and will be enrolled 
in a separate CHIP in accordance with section 2101(f) of the ACA.   If states choose the option to 
maintain Medicaid eligibility for such children, as described in Frequently Asked Questions posted 
on August 9, 2013, title XIX funds and regular FMAP must be used to provide coverage. 
 
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  Q7:  Are states allowed to claim enhanced FMAP for enrollees whose family income is above 
300 percent of the FPL? 
 
A7:  Generally, no.  Section 2105(c) (8) of the Social Security Act limits enhanced FMAP to the 
expenditures associated with children whose effective family income is at or below 300 percent FPL. 
 Expenditures for children whose effective family income exceeds 300& of the FPL are matched at 
the regular Medicaid FMAP rate rather than the enhanced FMAP.  However, the enhanced matching 
rate continues to be available for expenditures on populations whose income exceeds 300% FPL in 
states in which the income standard exceeds 300 percent as a result of MAGI conversion, as well as 
for states with approved income limits for CHIP above 300% of the FPL prior to the passage of the 
Childrens Health Insurance Program Reauthorization Act (CHIPRA).  
 
Q8:  At state option, are states allowed to claim title XIX funding instead of title XXI for 
services provided under a Medicaid expansion program? 
 
A8: Yes. Section 115 of CHIPRA gives states the option to claim expenditures for Medicaid 
expansion program populations under section 1905(u)(2)(B) of the Act, either at the enhanced FMAP 
rate using title XXI funds or at the regular FMAP rate using title XIX funds.  States that elect to 
claim expenditures under title XXI will receive the enhanced FMAP rate.  However, states that elect 
to claim expenditures under title XIX will receive the regular Medicaid FMAP rate.  Claims 
submitted at the enhanced FMAP rate will be paid from the states CHIP allotment. 
 
Q9:  Will states be allowed to continue to cover parents and receive the enhanced CHIP FMAP 
for those expenditures? 
 
A9:  States are no longer allowed to cover parents in CHIP after September 30, 2013 and therefore, 
are no longer eligible to receive the enhanced CHIP FMAP for expenditures for parents.  
 
 
 
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