| Group |
Income Eligibility |
| Children2 |
160% FPL |
| Pregnant Women3 |
160% FPL |
| Parents |
80% FPL |
| SSI Disabled (non-elderly) |
80% FPL |
High-Risk Pool
In 1993, the legislature of the state of Alaska created the Alaska Comprehensive Health Insurance Association (ACHIA) to provide health insurance to high risk individuals who are unable to find or who are denied health insurance coverage in the private market because of medical condition and to those individuals who have had prior health insurance coverage and meet the federal rules for eligibility. The premium cap for the program is 150 percent of market rate for comparable coverage. The program is financed through subscribers' premiums and assessments on insurers. At the end of June 2006, about 500 persons were enrolled in the program.
Other
Chronic and Acute Medical Assistance program (CAMA) - CAMA is a state-funded program designed to help needy Alaskans with specific illnesses get the medical care they need to manage those illnesses. It is a program primarily for people age 21 through 64 who do not qualify for Medicaid benefits, have very little income, and have inadequate or no health insurance.
CAMA eligibility is limited to individuals with the following conditions:
- Terminal illness
- Cancer requiring chemotherapy
- Chronic diabetes or diabetes insipidus
- Chronic seizure disorder
- Chronic mental illness
- Chronic hypertension
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Information presented in the profile was summarized in December 2006 from a review of state Web sites and reports, and through contacts with state officials. In most cases the profiles were reviewed by state officials; however, it is possible that states have implemented strategies that are not reflected in this profile. |
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| 1 This overview provides a general description of state coverage levels under their Medicaid and SCHIP programs, including coverage through waivers, as of October 2006. Health Management Associates researched eligibility information from state web sites, data from state reports, and verified through contacts with state officials during the fall of 2006. This does not reflect the specific eligibility categories or requirements. This is not intended to be a substitute for eligibility information provided by each state. Individuals interested in applying for these programs should contact the state directly for specific eligibility requirements. |
2 In 2003, the Alaska Legislature reduced the income ceiling from 200 percent FPL to 175 percent FPL. In addition, there is no annual adjustment to the income guidelines. Therefore, as of October 2006, eligibility has dropped to 160 percent FPL.
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| 3 Ibid. |
4 Urban Institute and Kaiser Commission on Medicaid and the Uninsured estimates based on the Census Bureau's March 2005 and 2006 Current Population Survey. |
| 5 Agency for Healthcare Research and Quality, Center for Financing, Access and Cost Trends. 2004 Medical Expenditure Panel Survey-Insurance Component. |
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