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June 2021
N01 (MAGI)—EMS N01 (MAGI)—ImpaCT
8080.25 HUSKY D LTSS Low Income Adult – LIA – replaces SAGA medical eff 4/1/10
Formerly SAGA coverage for Individuals in Chronic Disease and (freestanding) Rehabilitation Hospitals: • For individuals in facilities • Must reside there for 30 consecutive days • Childless adults under 65 • Not receiving Medicare • Must meet level of care as determine by Ascend/AssessmentPro • Must be at or below income limit
133% of the FPL plus an income disregard of 5% resulting in an effective income limit of 138%
No asset test
Begins with 1st day of 30 continuous days of residence
Continues as long as eligibility factors met N99 (MAGI)—EMS N99 (MAGI)—ImpaCT
8080.25 HUSKY D Low Income Adult – LIA – replaces SAGA medical eff 4/1/10
Formerly SAGA coverage for individuals in Chronic Disease and (freestanding) Rehabilitation Hospitals: • Coded on EMS but not a legitimate coverage group as there are no spend downs in this coverage category
N/A N/A P01 (Pre-MAGI)—EMS P01 (MAGI)—Not used in EMS
2540.44
HUSKY A Pregnant Women with Income Under 250% (258%)of Poverty Level
• Covers pregnant women • AFDC Income limit
Once eligible, individual remains eligible for duration of pregnancy. Also eligible for 60 days post-partum coverage via the M01 extension which should be added upon notification of child’s birth
AFDC Income Standards Duration of pregnancy. Once eligibility is established, continues for remainder of pregnancy, even if change in income. Use M01 for 60 day post-partum extension
** Do not grant or renew any F07, F12, F25, F95, G02, G07, P01, P02 and P95 AUs
*** P01 is replaced by X01
P02 (Pre-MAGI)—EMS P02—Not used in ImpaCT
2540.43
HUSKY A Pregnant Women with Income Under 250% (258%)of Poverty Level
• Covers pregnant women whose family income does not exceed 250% of Federal Poverty Level
Once eligible, individual remains eligible for duration of pregnancy. Also eligible for 60 days post-partum coverage via the M01 extension which should be added upon notification of child’s birth
Income limit is 250% of Federal Poverty Level for needs group size
Unborn child included in needs group
No asset test
Use same deeming rules as P01. Duration of pregnancy
Once eligibility is established, continues for remainder of pregnancy, even if change in income. Use M01 for 60-day post- partum extension
** Do not grant or renew any F07, F12, F25, F95, G02, G07, P01, P02 and P95 AUs.
*** P02 is replaced by X01