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MEDICAL SERVICES POLICY MANUAL, SECTION B
B 200 Families and Individuals Group (MAGI)
If an adult meets the criteria for this group, they must be assigned to this group even if eligibility exists in another MAGI eligibility group. Therefore, eligibility for this group is determined first before moving to other categories that may have higher income limits. NOTE: Only adults are included in this group. Children will not be placed in this group. Their coverage will be in the appropriate ARKids program or some other type of Health Care such as TEFRA, or a private insurance plan. Adults covered in the group receive the full range of Health Care benefits.
B-240 Pregnant Women MS Manual 01/01/22 This group consists of women nineteen (19) years of age and above who are pregnant at the time of application and are not eligible in either the Parent/Caretaker Relative (MS B-230) or Former Foster Care (MS B- 260) group. A pregnant woman can apply for retroactive Pregnant Women Health Care up to three (3) months after birth of the baby. There are two (2) categories of coverage within the Pregnant Woman group. • Those with household income at or below the income limit for Low-Income Pregnant Woman Coverage (MS E-110) receive the full range of Health Care services; and • Those with income above that limit but under the limit for High-Income Pregnant Woman Coverage (MS E-110) are provided services related to prenatal, delivery and postpartum care, and to other conditions that may complicate pregnancy. Both levels provide postpartum coverage through the end of the month in whichthe sixtieth day from the date of delivery falls.
B-250 Unborn Child (Pregnant Woman) MS Manual 01/01/22 This group consists of non-citizen pregnant womenwho do not meet the alienage requirements for Health Care and whose household income is at or below two hundred and nine percent (209%) of the federal poverty level for the appropriate household size. This includes pregnant women who are either of the following: • Lawfully admitted aliens who do not yet meet the five-year residency requirements or one (1) of the conditions listed in MS D-224; or • Undocumented aliens.