Page 65 - Book11E

California New York Texas Ohio Arizona
1,731,605 Colorado 539,614 Utah 928,483 Oregon 253,711 Idaho 39,589 New Mexico
106,643 62,071 64,727 42,208 9,654
What healthcare services does SCHIP cover?
All state SCHIP programs cover inpatient, outpatient, and emergency care (although many states charge higher copayments for inappropriate use of the emergency room) and many kinds of specialist care. States are required to cover well-baby and well-child visits, as well as immu- nizations. Almost all states cover mental health and substance abuse services, although states may limit the number of visits or total costs that may be incurred per year for such services.
States that use their SCHIP programs to expand Medicaid coverage to more low-income children must provide all mandatory Medicaid benefits, as well as all optional services specified in their state Medicaid plans.
States that create their own programs must include at least 75 percent of benefits covered under the SCHIP program for prescription drugs, mental health services, vision services, and hearing services.
How is SCHIP different from Medicaid?
SCHIP was designed to complement Medicaid by expanding access to healthcare for low-income children. The key differences between Medicaid and SCHIP are summarized next.
Federal Resources for Health Care Coverage 57