A State child health plan shall include a description of—
(A) the strategic objectives,
(B) the performance goals, and
(C) the performance measures,
the State has established for providing child health assistance to targeted low-income children under the plan and otherwise for maximizing health benefits coverage for other low-income children and children generally in the State.
Such plan shall identify specific strategic objectives relating to increasing the extent of creditable health coverage among targeted low-income children and other low-income children.
Such plan shall specify one or more performance goals for each such strategic objective so identified.
Such plan shall describe how performance under the plan will be—
(A) measured through objective, independently verifiable means, and
(B) compared against performance goals, in order to determine the State's performance under this subchapter.
A State child health plan shall include an assurance that the State will collect the data, maintain the records, and furnish the reports to the Secretary, at the times and in the standardized format the Secretary may require in order to enable the Secretary to monitor State program administration and compliance and to evaluate and compare the effectiveness of State plans under this subchapter.
A State child health plan shall include a description of the State's plan for the annual assessments and reports under section 1397hh(a) of this title and the evaluation required by section 1397hh(b) of this title.
A State child health plan shall include an assurance that the State will afford the Secretary access to any records or information relating to the plan for the purposes of review or audit.
A State child health plan shall include a description of the process used to involve the public in the design and implementation of the plan and the method for ensuring ongoing public involvement.
A State child health plan shall include a description of the budget for the plan. The description shall be updated periodically as necessary and shall include details on the planned use of funds and the sources of the non-Federal share of plan expenditures, including any requirements for cost-sharing by beneficiaries.
The following sections of this chapter shall apply to States under this subchapter in the same manner as they apply to a State under subchapter XIX of this chapter:
(A) Section 1396a(a)(4)(C) of this title (relating to conflict of interest standards).
(B) Section 1396a(a)(72) of this title (relating to limiting FQHC contracting for provision of dental services).
(C) Section 1396a(a)(73) of this title (relating to requiring certain States to seek advice from designees of Indian Health Programs and Urban Indian Organizations).
(D) Subsections (a)(77) and (kk) of section 1396a of this title (relating to provider and supplier screening, oversight, and reporting requirements).
(E) Section 1396a(e)(13) of this title (relating to the State option to rely on findings from an Express Lane agency to help evaluate a child's eligibility for medical assistance).
(F) Section 1396a(e)(14) of this title (relating to income determined using modified adjusted gross income and household income).
(G) Section 1396a(bb) of this title (relating to payment for services provided by Federally-qualified health centers and rural health clinics).
(H) Section 1396a(ff) of this title (relating to disregard of certain property for purposes of making eligibility determinations).
(I) Paragraphs (2), (16), and (17) of section 1396b(i) of this title (relating to limitations on payment).
(J) Paragraph (4) of section 1396b(v) of this title (relating to optional coverage of categories of lawfully residing immigrant children or pregnant women), but only if the State has elected to apply such paragraph with respect to such category of children or pregnant women under subchapter XIX.
(K) Section 1396b(w) of this title (relating to limitations on provider taxes and donations).
(L) Section 1396r–1a of this title (relating to presumptive eligibility for children).
(M) Subsections (a)(2)(C) and (h) of section 1396u–2 of this title.
(N) Section 1396w–2 of this title (relating to authorization to receive data directly relevant to eligibility determinations).
(O) Section 1396w–3(b) of this title (relating to coordination with State Exchanges and the State Medicaid agency).
(A) Section 1315 of this title (relating to waiver authority).
(B) Section 1316 of this title (relating to administrative and judicial review), but only insofar as consistent with this subchapter.
(C) Section 1320a–3 of this title (relating to disclosure of ownership and related information).
(D) Section 1320a–5 of this title (relating to disclosure of information about certain convicted individuals).
(E) Section 1320a–7a of this title (relating to civil monetary penalties).
(F) Section 1320a–7b(d) of this title (relating to criminal penalties for certain additional charges).
(G) Section 1320b–2 of this title (relating to periods within which claims must be filed).
Notwithstanding subsection (e)(2)(A) and section 1315(a) of this title:
(1) The Secretary may not approve a waiver, experimental, pilot, or demonstration project that would allow funds made available under this subchapter to be used to provide child health assistance or other health benefits coverage to a nonpregnant childless adult or a parent (as defined in section 1397kk(c)(2)(A) of this title), who is not pregnant, of a targeted low-income child.
(2) The Secretary may not approve, extend, renew, or amend a waiver, experimental, pilot, or demonstration project with respect to a State after February 4, 2009, that would waive or modify the requirements of section 1397kk of this title.
(Aug. 14, 1935, ch. 531, title XXI, §2107, as added Pub. L. 105–33, title IV, §4901(a), Aug. 5, 1997, 111 Stat. 565; amended Pub. L. 106–554, §1(a)(6) [title VIII, §803], Dec. 21, 2000, 114 Stat. 2763, 2763A–582; Pub. L. 109–171, title VI, §6102(a), Feb. 8, 2006, 120 Stat. 131; Pub. L. 111–3, title I, §112(a)(2)(A), title II, §§203(a)(2), (d)(2), 214(b), title V, §§501(d)(2), 503(a)(1), Feb. 4, 2009, 123 Stat. 33, 46, 49, 57, 87, 89; Pub. L. 111–5, div. B, title V, §5006(b)(2), (d)(2), (e)(2)(B), Feb. 17, 2009, 123 Stat. 506, 510; Pub. L. 111–148, title II, §2101(d)(2), (e), title VI, §6401(c), Mar. 23, 2010, 124 Stat. 287, 753; Pub. L. 111–152, title I, §1004(b)(2)(B), Mar. 30, 2010, 124 Stat. 1034; Pub. L. 111–309, title II, §205(f)(2), Dec. 15, 2010, 124 Stat. 3291.)
Sections: Previous 1397m-5 1397aa 1397bb 1397cc 1397dd 1397ee 1397ff 1397gg 1397hh 1397ii 1397jj 1397kk 1397ll 1397mm 1404a Next
Last modified: October 26, 2015