Page 18

June 2021

X07 (MAGI)—EMS X07 (MAGI)—ImpaCT

42 CFR 435.110; 1902(a)(10)(A)(i)(I); 1931(b) and (d)

HUSKY A Parents and Caretaker Relatives

• Parents and Caretaker relatives with dependents under the age of 19 • Must cooperate with child support • The new process is based on tax filing status household composition and household taxable income with adjustments

Effective 10/1/19, 155% of FPL (160% with the 5% disregard)

No asset test As long as all eligibility requirements are met

Youngest child turns 19, review eligibility for X02

X10—Code not used in EMS X10—ImpaCT

2540.52

HUSKY A Categorically Needy and Medically Needy Newborn Children eligible for 12 months Newborn is “deemed” eligible for one year if born to mother who was on Medicaid at time of delivery or would have been Medicaid eligible at time of delivery.

Newborns born to undocumented mothers who receive Emergency Medicaid are “deemed eligible” for one year No Income or Asset test

Guaranteed coverage for one year

Born on first of the month, eligibility in program for 12 months (i.e. DOB 2/1/2020, end date 1/31/2021)

Born any day after the 1st of a month, eligibility in program for 13 months (i.e. DOB 2/2/2020, end date 2/28/2021)

12 months - Review eligibility for X25 X13 (MAGI)—EMS X13 (MAGI)--Code not used in ImpaCT

1902(a)(10)(A)(i)(VIII) 42 CFR 435.119

HUSKY D MCLIP- Medical for Low Income Persons

• Not newly eligible 19 and 20 year old individuals • Not receiving Medicare

Effective 1/1/14, 133% of FPL (138% FPL with the 5% disregard)

No asset test

As long as all eligibility requirements are met

Note: Cases exist in ImpaCT as X02. Flagged as “not newly eligible”

X14 (MAGI)—EMS X14 (MAGI)—Code not used in ImpaCT

1902(a)(10)(A)(i)(VIII) 42 CFR 435.119 HUSKY D MCLIP- Medical for Low Income Persons

• Not newly eligible non-Institutionalized disabled 18-64 year olds • Not receiving Medicare

Effective 1/1/14, 133% of FPL (138% of FPL with the 5% disregard)

No asset test As long as all eligibility requirements are met

Note: Cases exist in ImpaCT as X02. Flagged as “not newly eligible”

X25 (MAGI)—EMS X25 (MAGI)—ImpaCT

42 CFR 118; 1902(a)(10)(A)(i)(III), (IV)and (VII); 1902(a)(10)(A)(ii)(IV) and(IX); 1931(b) and (d)

HUSKY A Children

• Children under the age of 19 • The new process is based on tax filing status household composition and household taxable income with adjustments • Children in DCF care may also use this coverage group

Effective 1/1/14, 196% of FPL (201% of FPL with the 5% disregard)

No asset test As long as all eligibility requirements are met

End of month in which child turns 19, review eligibility for X02