((a)) ** Strategic objectives and performance goals**
((1)) ** Description** A State child health plan shall include a description of—
((A)) the strategic objectives,
((B)) the performance goals, and
((C)) the performance measures,
((2)) ** Strategic objectives** Such plan shall identify specific strategic objectives relating to increasing the extent of creditable health coverage among targeted low-income children and other low-income children.
((3)) ** Performance goals** Such plan shall specify one or more performance goals for each such strategic objective so identified.
((4)) ** Performance measures** Such plan shall describe how performance under the plan will be—
((A)) measured through objective, independently verifiable means, and
((B)) compared against performance goals, in order to determine the State’s performance under this subchapter.
((b)) ** Records, reports, audits, and evaluation**
((1)) ** Data collection, records, and reports** A State child health plan shall include an assurance that the State will collect the data, maintain the records, and furnish the reports to the Secretary, at the times and in the standardized format the Secretary may require in order to enable the Secretary to monitor State program administration and compliance and to evaluate and compare the effectiveness of State plans under this subchapter.
((2)) ** State assessment and study** A State child health plan shall include a description of the State’s plan for the annual assessments and reports under and the evaluation required by .section 1397hh(a) of this titlesection 1397hh(b) of this title
((3)) ** Audits** A State child health plan shall include an assurance that the State will afford the Secretary access to any records or information relating to the plan for the purposes of review or audit.
((c)) ** Program development process** A State child health plan shall include a description of the process used to involve the public in the design and implementation of the plan and the method for ensuring ongoing public involvement.
((d)) ** Program budget** A State child health plan shall include a description of the budget for the plan. The description shall be updated periodically as necessary and shall include details on the planned use of funds and the sources of the non-Federal share of plan expenditures, including any requirements for cost-sharing by beneficiaries.
((e)) ** Application of certain general provisions** The following sections of this chapter shall apply to States under this subchapter in the same manner as they apply to a State under subchapter XIX:
((1)) ** Subchapter XIX provisions**
((A)) (relating to conflict of interest standards).
((B)) (relating to third party liability).
((C)) (relating to termination of participation of certain providers).
((D)) (relating to enrollment of providers participating in State plans providing medical assistance on a fee-for-service basis).
((E)) (relating to limiting FQHC contracting for provision of dental services).
((F)) (relating to requiring certain States to seek advice from designees of Indian Health Programs and Urban Indian Organizations).
((G)) Subsections (a)(77) and (kk) of (relating to provider and supplier screening, oversight, and reporting requirements) and subsection (a)(83) of (relating to searchable directories of the providers described in subsection (mm) of such section).
((H)) (relating to address information for enrollees and prevention of simultaneous enrollments).
((I)) (relating to the State option to rely on findings from an Express Lane agency to help evaluate a child’s eligibility for medical assistance).
((J)) (relating to income determined using modified adjusted gross income and household income).
((K)) Paragraphs (5) and (16) of (relating to the State option to provide medical assistance consisting of full benefits during pregnancy and throughout the 12-month postpartum period under subchapter XIX), if the State provides child health assistance for targeted low-income children who are pregnant or to targeted low-income pregnant women and the State has elected to apply such paragraph (16) with respect to pregnant women under subchapter XIX, the provision of assistance under the State child health plan or waiver for targeted low-income children or targeted low-income pregnant women during pregnancy and the 12-month postpartum period shall be required and not at the option of the State and shall include coverage of all items or services provided to a targeted low-income child or targeted low-income pregnant woman (as applicable) under the State child health plan or waiver).
((L)) (relating to 1 year of continuous eligibility for children), except that a targeted low-income child enrolled under the State child health plan or waiver may be transferred to the Medicaid program under subchapter XIX for the remaining duration of the 12-month continuous eligibility period, if the child becomes eligible for full benefits under subchapter XIX during such period.
((M)) (relating to payment for services provided by Federally-qualified health centers and rural health clinics).
((N)) (relating to disregard of certain property for purposes of making eligibility determinations).
((O)) Paragraphs (2), (16), and (17) of (relating to limitations on payment).
((P)) (relating to limitation on payment with respect to managed care).
((Q)) Paragraph (4) of (relating to optional coverage of categories of lawfully residing immigrant children or pregnant women), but only if the State has elected to apply such paragraph with respect to such category of children or pregnant women under subchapter XIX.
((R)) (relating to payments for medical assistance furnished to aliens), except in relation to payments for services provided under .
((S)) (relating to limitations on provider taxes and donations).
((T)) (relating to presumptive eligibility for children).
((U)) Subsections (a)(2)(C) (relating to Indian enrollment), (d)(5) (relating to contract requirement for managed care entities), (d)(6) (relating to enrollment of providers participating with a managed care entity), and (h) (relating to special rules with respect to Indian enrollees, Indian health care providers, and Indian managed care entities) of .
((V)) (relating to authorization to receive data directly relevant to eligibility determinations).
((W)) (relating to coordination with State Exchanges and the State Medicaid agency).
((2)) ** Subchapter XI provisions**
((A)) (relating to waiver authority).
((B)) (relating to administrative and judicial review), but only insofar as consistent with this subchapter.
((C)) (relating to disclosure of ownership and related information).
((D)) (relating to disclosure of information about certain convicted individuals).
((E)) (relating to civil monetary penalties).
((F)) (relating to criminal penalties for certain additional charges).
((G)) (relating to periods within which claims must be filed).
((f)) ** Limitation of waiver authority** Notwithstanding subsection (e)(2)(A) and :
((1)) The Secretary may not approve a waiver, experimental, pilot, or demonstration project that would allow funds made available under this subchapter to be used to provide child health assistance or other health benefits coverage to a nonpregnant childless adult or a parent (as defined in ), who is not pregnant, of a targeted low-income child.
((2)) The Secretary may not approve, extend, renew, or amend a waiver, experimental, pilot, or demonstration project with respect to a State after , that would waive or modify the requirements of .
((g)) ** Use of blended risk pools**
((1)) ** In general** Nothing in this subchapter (or any other provision of Federal law) shall be construed as preventing a State from considering children enrolled in a qualified CHIP look-alike program and children enrolled in a State child health plan under this subchapter (or a waiver of such plan) as members of a single risk pool.
((2)) ** Qualified CHIP look-alike program** In this subsection, the term “qualified CHIP look-alike program” means a State program—
((A)) under which children who are under the age of 19 and are not eligible to receive medical assistance under subchapter XIX or child health assistance under this subchapter may purchase coverage through the State that provides benefits that are at least identical to the benefits provided under the State child health plan under this subchapter (or a waiver of such plan); and
((B)) that is funded exclusively through non-Federal funds, including funds received by the State in the form of premiums for the purchase of such coverage.