Page 4

June 2021

F07 (Pre-MAGI)—EMS F07 (Pre-MAGI)—Code not used in ImpaCT

2540.24

HUSKY A Families

• Children and caretaker relatives • Children or dependents (under 18 or 18 and expected to graduate by 19) • Relationship specified in (2540.24)

Include SSI recipients (SSI income is not counted)

If family is over the 185% FPL, refer child only for HUSKY B To determine parent / caretaker relative spend down (kids on HUSKY B) – may use “OC” code for children’s financial resp. code on STAT

Cooperation with child support is a requirement for parent/caretaker eligibility (not children)

F07 will correctly sprout F03 when earned income of a family member exceeds F07 income limits

Lump Sums on F07 are treated as assets

Assets are excluded for F07

Lump sums are treated as income for F25

If receipt of a lump sum under F25 is causing ineligibility, move child to F07

Eff. 7/1/07, Family income must be under 196% FPL

Disregard/ Deductions: • Gross - $90 / employed member • Childcare disregard – no limit • Child Support - $100.00 • Disregard SSI

Special income test for non-parent caretaker relative (NR financial responsibility code) - EMS will look at income of caretaker relative and compare to 196FPL for one person. If over, EMS will switch to NM code and disregard the non- parent income.

No asset test As long as all eligibility requirements are met

** Do not grant or renew any F07, F12, F25, F95, G02, G07, P01, P02 and P95 AUs

*** F07 is replaced by X07 F10/F11—EMS F10/F11—Codes not used in ImpaCT

2540.52

HUSKY A Categorically Needy and Medically Needy Newborn Children eligible for 12 months

Use F10 for newborns born to categorically eligible moms in P01, P02 and X01 Use F11 for newborns born to medically need moms in P95 or P99

Newborns born to undocumented mothers who receive emergency Medicaid may be considered “deemed eligible” No Income or Asset Test

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 should be “OC” coded if there is a companion F07 case or “NM” on X07 companion case Up until the first birthday 12 months - Review eligibility for X25

*** F10/F11 are replaced by X10

Page 4

Official source

June 2021

F07 (Pre-MAGI)—EMS F07 (Pre-MAGI)—Code not used in ImpaCT

2540.24

HUSKY A Families

• Children and caretaker relatives • Children or dependents (under 18 or 18 and expected to graduate by 19) • Relationship specified in (2540.24)

Include SSI recipients (SSI income is not counted)

Cooperation with child support is a requirement for parent/caretaker eligibility (not children)

F07 will correctly sprout F03 when earned income of a family member exceeds F07 income limits

Lump Sums on F07 are treated as assets

Assets are excluded for F07

Lump sums are treated as income for F25

If receipt of a lump sum under F25 is causing ineligibility, move child to F07

Eff. 7/1/07, Family income must be under 196% FPL

Disregard/ Deductions: • Gross - $90 / employed member • Childcare disregard – no limit • Child Support - $100.00 • Disregard SSI

No asset test As long as all eligibility requirements are met

** Do not grant or renew any F07, F12, F25, F95, G02, G07, P01, P02 and P95 AUs

*** F07 is replaced by X07 F10/F11—EMS F10/F11—Codes not used in ImpaCT

2540.52

HUSKY A Categorically Needy and Medically Needy Newborn Children eligible for 12 months

Use F10 for newborns born to categorically eligible moms in P01, P02 and X01 Use F11 for newborns born to medically need moms in P95 or P99

Newborns born to undocumented mothers who receive emergency Medicaid may be considered “deemed eligible” No Income or Asset Test

*** F10/F11 are replaced by X10