All Continuing Adult Participants (Auto Calculate) All Adult Participants (Auto Calculate) Index Children Does not Total Not Has have Insured Total access to access to (Auto Medicaid Private Insured IHS, CHS, TriCare not IHS, CHS, Calculate) or CHIP Insurance (Auto or UIHP Report or UIHP Calculate) facility facility Newly Enrolled Female Index Children Enrolled Male Index Children All Newly Enrolled Index Children (Auto Calculate) Continuing Female Index Children Continuing Male Children All Continuing Index Children (Auto Calculate) All Index Children (Auto Calculate) A.1 NOTES:
All Continuing Adult Participants (Auto Calculate) All Adult Participants (Auto Calculate) Index Children Has access to IHS, CHS, or UIHP facility Does not have access to IHS, CHS, or UIHP facility Total Not Insured (Auto Calculate) Medicaid or CHIP TriCare Private Insurance not Report Insured (Auto Calculate) Total Newly Enrolled Female Index Children Enrolled Male Index Children All Newly Enrolled Index Children (Auto Calculate) Continuing Female Index Children Continuing Male Children All Continuing Index Children (Auto Calculate) All Index Children (Auto Calculate) A.1 NOTES:
tribal_miechv_implementation_plan_guidance_and_form_1_0.docx