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MEDICAL SERVICES POLICY MANUAL, SECTION B

B 200 Families and Individuals Group(MAGI)

ARKids B provides coverage to otherwise uninsured children under nineteen (19) years of age with family income equal to or over one hundred and forty-two percent (142%) but under two hundred and eleven percent (211%) of the FPL for the household size (See MS E-110). ARKids B provides a more limited range of services with limited co-pays for some services. (See Appendix G) ARKids B was authorized by Arkansas Act 407 of 1997 (the ARKids First Program Act) and was implemented as a Section 1115 Health Care expansionprogram effective September 1, 1997. The program is currently funded by the Children’s Health Insurance Program (CHIP) under Title XXI of the Social Security Act. Because ARKids A and ARKids B have different benefit packages and have different federal funding match rates, it is necessary to designate separate categories of coverage for them. Please see PUB-040, Arkansas Medicaid, ARKids First & You for a summary of the benefit packages which highlights the differences in the two (2) packages.

B-220 Newborns MS Manual 01/01/22 This group consists of newborns up to one (1) year of age whose mothers were Health Care eligible at the time of their births. Newborns in this group are guaranteed Health Care coverage for the first year of life regardless of income changes that may occur during that first year. Newborns receive the full range of Health Care services. Although this group is considered part of the ARKids First group, Newborns also have a separate category of coverage to ensure no change in household circumstances affects their one-year of guaranteed coverage. At one (1) year of age, eligibility for ARKids First (A or B) is determined as for any other child (See MS I-230). Newborns born to pregnant women approved under the Unborn child category (See MS B-250) are also eligible for the Newborn category.

B-230 Parent/Caretaker Relatives MS Manual 01/01/22 This group consists of adults who have related minor children living in the home for whom the adult exercises care and responsibility (MS F-110) and whose household income is below the income limit for this group (See MS E-110). Both natural or adoptive parents may be living in the home with the child. There is no “deprivation of parental care or support” requirement for the parents to be included in this group.