Children’s Health Children’s Health Insurance Program Insurance Program Reauthorization Reauthorization

Act of 2009 Act of 2009 (CHIPRA)(CHIPRA)

Requires SSA to make available to States Requires SSA to make available to States an electronic data exchange matching an electronic data exchange matching name, SSN, DOB & citizenship dataname, SSN, DOB & citizenship data

Exchange available 01/01/10Exchange available 01/01/10

Known as “CHIP” (Children’s Health Known as “CHIP” (Children’s Health Insurance Program)Insurance Program)

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State & SSA sign Computer Matching and Privacy State & SSA sign Computer Matching and Privacy Protection Act (CMPPA) & Information Exchange Protection Act (CMPPA) & Information Exchange (IEA) Agreements(IEA) Agreements

Use existing SSA-State telecommunications Use existing SSA-State telecommunications network—File Transfer Management System network—File Transfer Management System (FTMS)(FTMS)

Use an existing SSA-State data exchange—State Use an existing SSA-State data exchange—State Verification & Exchange System (SVES)Verification & Exchange System (SVES)

A batch exchangeA batch exchange

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New MEDICAID & CHIP applications beginning New MEDICAID & CHIP applications beginning 01/01/1001/01/10

Match on ID elements (Name, SSN, DOB) and Match on ID elements (Name, SSN, DOB) and provide useful information for non-matchesprovide useful information for non-matches

Provide death data, where availableProvide death data, where available

For matched record, provide citizenship related For matched record, provide citizenship related data—substantiation, not proofdata—substantiation, not proof

Expedite State eligibility determinations, and Expedite State eligibility determinations, and minimize costs and inconvenience to applicants minimize costs and inconvenience to applicants & states& states

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28 States submitted CHIP queries28 States submitted CHIP queries

Total of 7,714,544 queries Total of 7,714,544 queries submittedsubmitted

Substantiated citizenship for 90% of Substantiated citizenship for 90% of queriesqueries

55

Existing data bases, not just new Existing data bases, not just new applications submitted for matchingapplications submitted for matching

Incorrect requests (for Non-Approved SSA Incorrect requests (for Non-Approved SSA records & on wrong SSNs) reduces match records & on wrong SSNs) reduces match raterate

Volume limitation on requestsVolume limitation on requests

Connections with agencies not in Connections with agencies not in approved networkapproved network

66

Online CHIP queryOnline CHIP query

Potential application of CHIP for Potential application of CHIP for Health Care Reform and High Risk Health Care Reform and High Risk PoolsPools

77