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New Aid Codes for Children's Health Insurance Program

December 10, 2013

Effective for dates of service on or after January 1, 2014, new aid codes E2, E4 and E5 will identify children eligible to receive coverage through the Children’s Health Insurance Program (CHIP). Due to the new modified adjusted gross income (MAGI) standard for calculating income eligibility, children who had qualified for and received Medi-Cal may lose their coverage and will need to be enrolled into a separate CHIP pursuant to section 2101(f) of the Patient Protection and Affordable Care Act (ACA). Moving these children into the new aid codes ensures a smooth transition and continuity of coverage.

For children enrolled in CHIP, Medi-Cal provides full-scope or restricted benefits dependent upon citizenship status. Title XXI matching federal funding is available.