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March 2004
 Medicaid and SCHIP:
States' Premium and Cost Sharing Requirements for Beneficiaries
Over 50 million
low-income adults and children receive health insurance coverage
through Medicaid and the State Children's Health Insurance
Program (SCHIP). Federal law allows states to require beneficiary
contributions, such as premiums and cost sharing (coinsurance,
copayments, and deductibles), for at least some Medicaid and SCHIP
beneficiaries. GAO was asked to (1) identify and compare states'
Medicaid and SCHIP beneficiary contribution requirements for
children, (2) identify states' Medicaid beneficiary contribution
requirements for adults, and (3) determine the extent to which
states' Medicaid and SCHIP beneficiary contribution
requirements.
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