Immigrant Children’s Program
What is the Immigrant Children’s Program?
The Immigrant Children’s Program is a program designed to provide health coverage to individuals under the age of twenty-one (21) who are not eligible for Medicaid. Services covered under the Immigrant Children’s Program are identical to the services covered under Medicaid for children under age twenty-one (21).
Who is eligible for the Immigrant Children’s Program?
You may be eligible for the Immigrant Children’s Program, if you:
- Are under the age of twenty-one (21)
- Are a District resident;
- Are not eligible for Medicaid; and
- Have income at or below 200% of the FPL
*There is no resource test for the Immigrant Children’s Program.
The District covers this population with household income up to 319% of the Federal Poverty Level
| Category | Children (0-18), 319% | Children (19-20) 216% |
|---|---|---|
| Threshold in FPL | 319% + 5% disregard | 216% + 5% disregard* |
| 1 person household, monthly | $4,228 | $2,884 |
| 2 person household, monthly | $5,712 | $3,896 |
| 3 person household, monthly | $7,196 | $4,908 |
| 4 person household, monthly | $8,683 | $5,923 |
| 5 person household, monthly | $10,167 | $6,935 |
| 6 person household, monthly | $11,651 | $7,947 |
| 7 person household, monthly | $13,138 | $8,962 |
| 8 person household, monthly | $14,622 | $9,974 |
Figures compiled using 2025 FPL numbers as of January 15, 2025 distributed by the U.S. Department of Health and Human Services
* 5% income disregard is included
What are some of the services that the Immigrant Children’s Program covers?
- Doctor visits
- Eye care
- Preventive care (checkups, diet and nutrition)
- Dental services and related treatment
- Prescription drugs
- Laboratory services
- Medical supplies
The services offered under the Immigrant Children’s Program are very similar to the services offered to children enrolled in DC Medicaid. There is no Fee-For-Service provision for children enrolled in ICP.
What are some of the services that the Immigrant Children’s Program does not cover?
- Cosmetic surgery or procedures that are not medically necessary
- Recreational therapy or experimental treatment, supplies, equipment or drugs
How are services received?
Once a child has been determined eligible for the Immigrant Children’s Program, he or she will be automatically assigned to a managed care health plan. There is a 90 day grace period to request a change in the managed care provider. The Immigrant Children’s Program does not allow providers (doctors, hospitals, and managed care organizations) to charge co-payments or fees for health services.
Immigrant Children program enrollees are not eligible for retroactive coverage.