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MEDICAL SERVICES POLICY MANUAL,SECTION C

C 200AlternativeApplicationProcesses

If a PW applicant is not income eligible in the month of application or the month in which the forty-fifth (45th) day falls but is income and otherwise eligible in one (1) of the retroactive months, the application will be approved beginning in the earliest month of retroactive eligibility. Eligibility will then continue through the endof the month in which the sixtieth (60th) day postpartum falls, if the applicant is eligible for the postpartum coverage, with disregard of any income changes which occurred after the beginning month of eligibility. There will be “No Look Back” at later income increases throughout the pregnancy and the postpartum period, even if the applicant is not eligible in the month of application or in the month when the forty-fifth (45th) day of the application falls. Refer to MS I-610. C-210 Newborn Referral Process MS Manual 07/01/20 Hospital and physician providers use the DCO-0645, Hospital/Physician/Certified Nurse-Midwife Referral for Newborn Infant Medicaid Coverage, to refer children who are born to and will reside with their Medicaid eligible mothers following discharge from the hospital. The referring provider is requested to complete the DCO-0645 and send it to the DHS County Office of the mother’s residence within five days of the child’s birth, when possible.  NOTE: In the following situations, coverage for the infant should be made on a DCO- 0152, Application for Health Coverage, or online at access.arkansas.gov: • If the motherof the child is not Medicaid eligible and has not made application for Medicaid to cover her pregnancy or • If the mother of the child is approved under the Unborn Child category (refer to MS B-220) or • If the infant will be living with someone else other than the biological mother following discharge from the hospital

C-211 Newborn Referral Disposal Process MS Manual 07/01/20 Once a newborn is eligible, the newborn will remain eligible until the last day of the month of the child’s first birthday regardless of whether the mother continues to be eligible. The only exceptions to a full year of coverage are: