{"data":{"id":"us-ut/utah-code-26b-3-903","jurisdiction":"us-ut","citation":"Utah Code § 26B-3-903","heading":"Eligibility.","body":"(1) A traditionally eligible child may enroll in the program if the child:\n(a) is a bona fide Utah resident;\n(b) does not have access to or coverage under other health insurance, including any coverage available through a parent or legal guardian's employer;\n(c) is ineligible for Medicaid benefits;\n(d) resides in a household whose gross family income, as defined by rule, is at or below 200% of the federal poverty level; and\n(e) is not an inmate of a public institution or a patient in an institution for mental diseases.\n(2) A child who qualifies for enrollment in the program under Subsection (1) may not be denied enrollment due to a diagnosis or pre-existing condition.\n(3)\n(a) The department shall determine eligibility and send notification of the eligibility decision within 30 days after receiving the application for coverage.\n(b) If the department cannot reach a decision because the applicant fails to take a required action, or because there is an administrative or other emergency beyond the department's control, the department shall:\n(i) document the reason for the delay in the applicant's case record; and\n(ii) inform the applicant of the status of the application and time frame for completion.\n(4) The department may not close enrollment in the program for a child who is eligible to enroll in the program under the provisions of Subsection (1).\n(5) The program shall:\n(a) apply for grants to make technology system improvements necessary to implement a simplified enrollment and renewal process in accordance with Subsection (5)(b); and\n(b) if funding is available, implement a simplified enrollment and renewal process.","path":["Title 26B Utah Health and Human Services Code","Chapter 26B-3 Health Care - Administration and Assistance","Part 26B-3-9 Utah Children's Health Insurance Program"],"source_url":"https://le.utah.gov/xcode/Title26B/Chapter3/26B-3-S903.html","current_through":"2026 General Session","vintage":"","retrieved_at":"2026-09-03T11:34:33Z","sha256":"d5707d97c53a4db013425ebb6f576021a01ff81b5acfb9831f7c7067188e180d","source_id":"us-ut","stale":false,"prev":"us-ut/utah-code-26b-3-902","next":"us-ut/utah-code-26b-3-904"},"notice":"GroundRules: Original legal text. Not legal advice."}