NOTICES
Children's Health Insurance Program Grantee Applications
[26 Pa.B. 551] The Management Team for the Children's Health Insurance Program (CHIP), established under the Children's Health Care Act (62 P. S. §§ 5001.101 et seq.), (act), will accept applications from health insurance entities for grants to administer the CHIP program. Potential grantees should request grant applications from Ronald A. Gallagher, Jr., Acting Director, Bureau of Special Funds, 901 North 7th Street, Capitol Associates Building, Harrisburg, Pennsylvania 17102, or by calling (717) 783-8093. A public informational meeting to answer questions concerning the CHIP program and application instructions is scheduled for February 15, 1996, in the Administrative Hearings Room, 901 North 7th Street, Harrisburg, PA 17102 at 1 p.m. Final proposals are due from potential grantees on March 15, 1996, by 4:30 p.m. at the offices identified in the application.
Applications from all interested companies are encouraged and preference will be given to managed health care entities (that is, HMOs or PPOs with primary care gatekeepers) currently licensed in this Commonwealth.
CHIP is funded by the proceeds from a per pack cigarette tax and provides health insurance for low to moderate income uninsured Pennsylvania children. The services provided to enrollees shall include preventive and primary care, as well as vision, hearing, dental and mental health services, pharmaceutical services with a $5 co-pay, and 90 day hospitalization coverage per year.
It is anticipated that grantees selected to administer the program will enter into a 1 year contract with 2 option years with the Insurance Department and shall have the responsibility to provide a minimum benefit package for eligible children, including the above services; ensure that eligible children have access to primary health care physicians and nurse practitioners on an equitable basis; contract with qualified, cost-effective providers to provide primary and preventive health care for enrollees; and comply with all other requirements specified in the act.
LINDA S. KAISER,
Insurance Commissioner
[Pa.B. Doc. No. 96-161. Filed for public inspection February 2, 1996, 9:00 a.m.]
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