<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sb9be1bd1-c70d-4d15-9955-23669d8a8d4c000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:14:02"><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000000">67:46:14:02</span></a><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000001">.  Eligibility requirements fo</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000001">r </span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000001">nonmedicaid children's health insurance program.</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0"> A child is eligible for the nonmedicaid children's health insurance program </span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">(</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">CHIP-NM</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">)</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0"> if the child:</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4c000002"> </span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    (1)  Does not meet the financial eligibility criteria for the state's </span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">m</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">edicaid program;</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    (2)  Is a member of a CHIP-NM family whose income, as defined in 42 C.F.R. § 435.603</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0"> (November 30, 2016)</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">, does not exceed </span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">two hundred and nine</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0"> percent of the federal poverty guidelines;</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    (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;</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    (4)  Is not covered under health insurance or a group health plan;</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    (5)  Except for § </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:01:13"><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">67:46:01:13</span></a><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">, meets the requirements of chapter </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:01"><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">67:46:01</span></a><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">;</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    (</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">6</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">)  Is not a resident of a public institution or</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0"> a</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0"> patient in an institution for mental diseases;</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    (</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">7</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">)  Meets the residency requirements of §§ </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:01:17"><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">67:46:0</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">1</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">:</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">17</span></a><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0"> t</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">o</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0"> </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:01:28"><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">67:46:0</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">1</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">:</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">28</span></a><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">, inclusive</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">; and</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    (</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">8</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">)  Meets the other requirements of this chapter.</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4c000002"> </span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    </span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000001">Source:</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0"> 26 SDR 168, effective July 1, 2000; 28 SDR 4, effective July 1, 2001; 41 SDR 7, effective July 29, 2014</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">; 47 SDR 24, effective September 10, 2020</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">; 51 SDR 52, effective November 11, 2024</span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">.</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    </span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000001">General Authority:</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">28-6-1</span></a><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">.</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    </span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000001">Law Implemented:</span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=28-6-1"><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">28-6-1</span></a><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">.</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4c000002"> </span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    </span><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000001">Cross-References:</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    </span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">Federal poverty level, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:11:01:03"><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">67:11:01:03</span></a><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">;</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">    </span><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">Determining size of nonmedicaid children's health insurance program family, § </span><a href="https://sdlegislature.gov/Rules?Rule=67:46:14:05"><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0-000003">67:46:14:05</span></a><span class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cC0">.</span></p><p dir="ltr" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4cP0"><span xml:space="preserve" class="sb9be1bd1-c70d-4d15-9955-23669d8a8d4c000002"> </span></p></div></body></html>