These families pay a modest premium for the coverage and have small co-payment responsibilities. This plan is available to families with countable family income above 133 percent of FPL and at or below 185 percent FPL that are providing their children with employer-based or other private health insurance. This plan discourages families from dropping their current insurance coverage and encourages employers to continue to provide health insurance to the children of employees. The coverage and cost-sharing are determined by the terms of the private or employer sponsored health plan covering the child. This program provides medical assistance to families or individuals that lose eligibility for TANF, Transitional Assistance, or Family and Children Assistance, due to increased earning or increased child support.
Coverage is provided for a limited period of time, generally twelve months.