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County Children’s Health Initiative (CCHIP)
CCHIP is a health insurance program in Santa Clara, San Francisco, and San Mateo counties. CCHIP provides medical, dental, and vision coverage to children age 0-19 with family income between 266% and 322% of the Federal Poverty Level (FPL).
To be eligible for CCHIP, individuals must:
- Be a resident of Santa Clara County
- Be age 0-19
- Be uninsured and ineligible for MC
- Be a United States Citizen, National, or Lawfully Present Immigrant
- Not have employer-sponsored coverage available
EWs are not responsible for case management of CCHIP. The CalHEERS system will complete the eligibility determinations for CCHIP and transmit the eligibility results to the Department of Health Cares Services contractor MAXIMUS. MAXIMUS is responsible for CCHIP program enrollment, and ongoing case management for CCHIP enrollees.
Effective July 1, 2022, DHCS no longer imposes collection of premiums for CCHIP coverage from third party contractor MAXIMUS.
For CCHIP enrollment questions, clients may contact the dedicated MAXIMUS CCHIP line at 1-833-912-2447.
Client Contribution
Effective July 1, 2022, families are no longer required to pay a monthly portion of the health coverage cost to participate in CCHIP.
A co-payment may be required for some services, depending on the family income. The maximum out of pocket amount for services in one benefit year is $250 per household. There are no copays for immunizations or preventative services and prescriptions.
Application
There is no separate application for CCHIP. Clients can apply anytime online, by phone, by mail, or in person.
CCHIP Managed Care Enrollment
Children eligible for CCHIP may enroll in either of the county’s two managed care plans:
- Santa Clara Family Health plan
- Anthem Blue Cross of California
For assistance with enrolling in or disenrolling from a plan, clients may call Health Care Options at 1-800-430-4263.
Related Topics
MC Access Program (MCAP) Formerly AIM
Presumptive Eligibility for Pregnant Individuals