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Medicaid application fee unchanged; CHIP premium consolidation shifts cost-sharing to copays
Summary
DHHS officials said the Medicaid application fee remains the same while CHIP premiums are being consolidated; staff said premium removal will be offset in part by increased copays and changes in provider claim handling.
Jenny Winn, financial manager speaking on behalf of Medicaid, said the Medicaid application fee will remain unchanged for the coming year. Medicaid staff also described consolidation of CHIP premium charges, explaining that the specific premium line item is being removed and revenue impacts will be offset by changes to copay structures and provider claim processing.
A committee member asked for clarification about how copays would offset lost premium revenue; Winn replied that copay adjustments would be reflected in provider claims and that some revenue shifts represent transfers in how the program collects cost-sharing rather than new overall revenue sources. Staff said the department would provide follow-up information on exact offsets.
