35-25-101. Uninsured child health insurance program. There is created a child health insurance program for families with a gross monthly income at or below one hundred eighty-five percent (185%) of the federal poverty level, until July 1, 2005, and thereafter, for families with a gross monthly income at or below two hundred percent (200%) of […]
35-25-102. Definitions. (a) As used in this act: (i) “Child” means a person who has not yet reached the nineteenth anniversary of his birth; (ii) “Department” means the department of health; (iii) “Federal poverty level” means the federal poverty guideline updated annually in the federal register by the United States department of health and human […]
35-25-103. Child health insurance program eligibility; services by department or private health insurance. (a) Subject to approval of the state plan by the United States secretary of health and human services, and subject to available state and federal funding the department shall provide a health insurance plan for an eligible child whose monthly gross family […]
35-25-104. Program benefits. (a) A child eligible for services under this act shall receive benefits developed by the department as allowed by 42 U.S.C. 1397cc et seq. and that include: (i) Cost sharing factors, not to exceed the maximum allowable under 42 U.S.C. 1397aa et seq.; (ii) Exclusions and limitations; (iii) Inpatient and outpatient hospital […]
35-25-106. Private health insurance plan request for proposals. (a) If the child health insurance plan required by W.S. 35-25-103 is provided through a private health insurance company, the department shall issue a request for proposals from qualified insurers not less than once every five (5) years, in addition to the requirements set forth in W.S. […]
35-25-107. Program expenditures; monitoring; recommendations; required action to limit expenditures to budget available. (a) The department shall project monthly expenditures under this act each month through the end of the biennium based upon the level of activity for the previous months and the trend in expenditures compared to previous expenditures. If the projections indicate that […]
35-25-108. Implementation; duties; restrictions on the department of health. (a) The department shall: (i) Administer this act within the fiscal constraints of 42 U.S.C. 1397aa et seq. and subsequent federal enactments governing this program and the state budget as enacted by the legislature; (ii) Develop a state plan for child health insurance to qualified recipients […]
