Eligibility requirements for nonmedicaid children's health insurance program. A child is eligible for the nonmedicaid children's health insurance program (CHIP-NM) if the child:

1. (1) Does not meet the financial eligibility criteria for the state's medicaid program;
2. (2) Is a member of a CHIP-NM family whose income, as defined in 42 C.F.R. § 435.603 (November 30, 2016), does not exceed two hundred and nine percent of the federal poverty guidelines;
3. (3) Is not a member of a CHIP-NM unit in which the child's parent or legal guardian is an employee of a public agency and eligible to participate in the state health insurance benefit plan;
4. (4) Is not covered under health insurance or a group health plan;
5. (5) Except for § 67:46:01:13, meets the requirements of chapter 67:46:01;
6. (6) Is not a resident of a public institution or a patient in an institution for mental diseases;
7. (7) Meets the residency requirements of §§ 67:46:01:17 to 67:46:01:28, inclusive; and

8. (8) Meets the other requirements of this chapter.

   Cross-References:

   Federal poverty level, § 67:11:01:03;

   Determining size of nonmedicaid children's health insurance program family, § 67:46:14:05.

Source: 26 SDR 168, effective July 1, 2000; 28 SDR 4, effective July 1, 2001; 41 SDR 7, effective July 29, 2014 ; 47 SDR 24, effective September 10, 2020 ; 51 SDR 52, effective November 11, 2024 .

General Authority: SDCL 28-6-1 .

Law Implemented: SDCL 28-6-1 .

Prior versions effective: 2020-09-10, 2014-07-29, 2001-07-01.