Mississippi program
Child coverage above the Medicaid income line (CHIP)
Mississippi’s health plan for children whose families earn above the Medicaid line.
What it is
Mississippi’s health plan for children whose families earn above the Medicaid line.
One application checks Medicaid first, then CHIP. CHIP reaches a higher income line and has no premium under the state plan. Other insurance and access to care affect eligibility.
Eligibility rules
- Children must live in Mississippi and be under 19.
- The March 1, 2026 table reaches 209% of poverty, or 214% with the allowance applied when needed.
- For four people, the base ceiling is $5,748 monthly and the allowance ceiling is $5,886. For three people, the base ceiling is $4,759.
- Other creditable coverage bars approval. Coverage without reasonable geographic access does not count as other coverage.
- An ordinary employer-plan offer you have not accepted is not the same as being insured. Tell Medicaid about any existing coverage, its end date and any government-employee plan so it can check the exact rule. This screen does not establish that ending current coverage would make the child eligible.
What you get
- No monthly premium under the state plan.
- Full child health coverage through a CHIP plan.
What this includes
- Before choosing a plan, check whether the cancer team and medicines are covered. Enrollment does not guarantee access to a particular clinic.
- CHIP has no premium or deductible, but some families have copays. The posted plan lists $5 doctor visits and $15 emergency-room visits above 150% of poverty, with annual out-of-pocket limits of $800 in its 151–175% band and $950 in its 176–209% band. The plan also applies the federal family-cost limit and exemptions, including preventive care and American Indian/Alaska Native children. The CHIP plan can confirm the assigned band and any charge for the exact treatment.
If you decide to apply
- Ask the hospital benefit coordinator to help with the ACCESS Mississippi application.
- Bring current pay records and details of any insurance your child has, including its end date.
- Ask which CHIP plan includes the cancer team and hospital.
The Mississippi Division of Medicaid, on the same application as Medicaid: 800-421-2408 · Official page ↗
What happens next
- Coverage starts the month after application and generally does not pay earlier bills.
- A newborn exception allows coverage back to birth within a 31-day window. Approved children receive 12 full months of continuous coverage.
Good to know
Other creditable insurance usually prevents new CHIP enrollment. An offer that has not been accepted is not the same as enrollment, and obtaining insurance after approval does not by itself end the child’s protected 12-month coverage period.
Other details
- A plan with no reasonably reachable doctor can receive different treatment under the other-insurance rule. The benefit coordinator can help describe the access problem.
Federal background: Children’s Health Insurance Program (CHIP).
Official sources
- DOM - 2026 MAGI Income Limits, Appendix A-3-m
- DOM - CHIP State Plan, entire posted document
- DOM - Eligibility Manual, Chapter 101, revised September 2025
- DOM - Eligibility Manual, Chapter 102, revised July 2025
- DOM - Children's Health Insurance Program (CHIP)
- DOM - MississippiCAN Resources
- Official source reviewed for Names, monthly child Medicaid/CHIP limits, effective period and employer insurance
- Official source reviewed for Names, monthly child Medicaid/CHIP limits, effective period and employer insurance
“What would we gain or give up with CHIP, and could you help us decide whether to apply and check the cancer team’s network?”
Why I’m asking: I want to understand the coverage and costs before making an insurance change.
More background and detailed requirements
Additional program information and published rules
Who does what
The three parts, side by side. The agency decides; nobody on this page does.
You
File one application and report exactly what insurance your child holds and when it ends.
Your social worker
The hospital benefit coordinator can file with you and check that the CHIP plan takes the oncology group.
The care team
Records and letters when the application asks for them.
- Who decides
- The Mississippi Division of Medicaid, on the same application that tests Medicaid.
- Ask your social worker
- “We earn too much for Medicaid. Can we file the application that tests CHIP, and can you check which CHIP plan the oncology group takes?”
How to apply
First step: File at access.ms.gov or call 800-421-2408. The same application tests Medicaid first.
- File at access.ms.gov: the same form tests Medicaid and then CHIP.
- Say plainly what insurance your child has and when it ends.
- Ask whether an enrolment fee is charged, because the posted plan says no premiums but it is an old document.
Official application / program page ↗
Where it starts: Apply at access.ms.gov or call 800-421-2408. One application tests Medicaid first, then CHIP.
What to gather
- Your child's birth certificate or ID and Social Security number
- This month's household income
- Any insurance card and the end date if it is ending
How long: The state works to a 45-day standard on this application. Coverage starts the first of the month after it is approved.
What a yes looks like
A notice naming the CHIP health plan and the start date. Check the oncology group is in that plan.
What a no looks like, and the next move
If the no was because your child holds other insurance, ask what happens when that coverage ends. If it was income, ask for Katie Beckett by name.
Watch out
- Insurance your child is actually enrolled in bars CHIP. An employer offer nobody took up is a different thing, and the current manual does not settle it.
- CHIP does not pay old bills. It starts the month after you apply, so file the day you can.
- A plan that has no doctor within reasonable reach does not count as coverage; say so if the only centre in network is hours away.
Dates that change this
2026-03-01: The posted state plan says premiums none and sets no waiting period. That posted compilation is old and a newer plan amendment is pending, so ask whether any enrolment fee is charged now. (not yet confirmed against the final rule)
The numbers and the rules
The arcane layer, kept on purpose. Checked September 11, 2026.
What it is worth
Children's coverage from the top of the Medicaid line to $5,748 a month for four people, or $5,886 on the printed allowance column. The posted plan says premiums none.
- $5,748/month — Household of 4, printed base ceiling
- $5,886/month — Household of 4, printed allowance ceiling
- $4,759/month — Household of 3, printed base ceiling
- $31 — Newborn window for coverage back to the birth date
- $12 — Continuous coverage once approved
Covers: Hospital and clinic care · Chemotherapy and prescriptions · Run by Magnolia Health, Molina or TrueCare
Legal protection: 12 months of continuous coverage once approved · The posted state plan sets no waiting period after other coverage ends
What it costs the family: The posted state plan says premiums none. Whether a separate enrolment fee is charged now could not be confirmed; ask when you apply.
The eligibility facts, as published
- Age
- under 19
- Age max exclusive
- 19
- Income
- Above the child Medicaid line for the age band, up to 209 percent of poverty, or 214 percent on the printed allowance column
- Insurance status condition
- a child covered by other creditable insurance cannot be approved; an existing plan with no reasonable geographic access does not count as coverage
- Residency
- Mississippi
- Continuous eligibility
- 12 full months
- Retroactive months
- none, except a newborn inside 31 days
Decisions this site cannot make: Division of Medicaid decision; Medicaid is tested first
Expect friction on: A child already covered by other creditable insurance cannot be approved
The trap: An employer plan your child is enrolled in bars CHIP, and the state does not deny only because coverage is ending inside the processing window. A plan with no reasonable geographic access does not count as coverage, which matters if the only in-network oncology centre is hours away.
Where I read this
- DOM - 2026 MAGI Income Limits, Appendix A-3-m — Mississippi Division of Medicaid, read September 10, 2026
- DOM - CHIP State Plan, entire posted document — Mississippi Division of Medicaid, read September 10, 2026
- DOM - Eligibility Manual, Chapter 101, revised September 2025 — Mississippi Division of Medicaid, read September 10, 2026
- DOM - Eligibility Manual, Chapter 102, revised July 2025 — Mississippi Division of Medicaid, read September 10, 2026
- DOM - Children's Health Insurance Program (CHIP) — Mississippi Division of Medicaid, read September 10, 2026
- DOM - MississippiCAN Resources — Mississippi Division of Medicaid, read September 10, 2026
