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) |
|---|---|---|
| Threshold in FPL | 319% + 5% disregard | 216% + 5% disregard* |
| 1 person household, monthly | $4,066 | $2,774 |
| 2 person household, monthly | $5,519 | $3,764 |
| 3 person household, monthly | $6,971 | $4,755 |
| 4 person household, monthly | $8,424 | $5,746 |
| 5 person household, monthly | $9,877 | $6,737 |
| 6 person household, monthly | $11,329 | $7,728 |
| 7 person household, monthly | $12,782 | $8,718 |
| 8 person household, monthly | $14,234 | $9,709 |
Figures compiled using 2024 FPL numbers 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.