The open enrollment rules determine whether or not an application for CHIP has been received during an open enrollment period. An open enrollment period is a specific time period set by the organization in which applications for CHIP can be accepted. Once this period has passed, no applications are accepted. The organization limits the number they enroll according to the funds available for the program.
The following exceptions apply:
- A family, who has a child enrolled in CHIP, may enroll a new child born to or adopted by a household member without waiting for the next open enrollment period.
- A family, who has a child enrolled in CHIP, may enroll an additional child who loses Medical Assistance coverage and does not qualify for any other Medical Assistance coverage type without paying a spend down, without waiting for the next open enrollment period.
- A child who loses Medical Assistance coverage and does not qualify for any other Medical Assistance coverage type without paying a spend down, may enroll in CHIP without waiting for the next open enrollment period