CMMS “Lock Out” for CHIP

Governor: New rules promulgated by the Centers for Medicare and Medicaid Services, (42 CFR 457.570) limit the lock-out period that a state may impose on Children Health Insurance Program (CHIP) eligibility. A lock-out period is the period of time a client cannot enroll in CHIP as a consequence of premium payment delinquency. Under this rule, the lock-out period is limited to no more than 90 days. It is estimated that caseload will increase by 1,300 in Fiscal Year 2015 as a result of the new rule.