Page 5

June 2021

F12—EMS F12—Code not used in ImpaCT

2540.56

HUSKY A Categorically Needy Ribicoff Children

Children who are between 19-20 yrs of age and meet AFDC income/asset requirements • Typically 19 and 20 yrs old living independently

This age group also may apply for Medicaid Low Income Adult

Use “SD” deemor code for parents As long as age and income tests are met

Go to the DEEM screen to enter the numbers of dependents

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

F25 (Pre-MAGI)—EMS F25 (Pre-MAGI)—Code not used in ImpaCT

2540.58

HUSKY A Children

Children who are between the ages of 1 and up to 19

Cooperation with child support is a requirement of this coverage group; However, penalty for non-cooperation is to remove parent only, child remains eligible under F25

Lump sums are treated as income for F25

Lump sums are treated as assets for F07

Assets are excluded for F07

If lump sum causes ineligibility under F25, move child to F07 Compare AI of AU to Federal Poverty Level (185%) for needs group size.

Disregard: $90 / employed person $100 / from child support (not working correctly – EMS deducts $50 – requires worker intervention) Childcare disregard – no limit CARE screen for HOH and complete address fields for child care provider

Parents and siblings in other coverage groups are coded “OC”, undocumented parents are coded “IP” for deeming purposes. Link to 5020.10.

No asset test End of month in which child turns 19 or end of month when inpatient medical service terminates

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

*** F25 is replaced with X25

F95—EMS F95—Code not used in ImpaCT

2540.68

HUSKY Medically Needy Children - under MNIL

• Includes children under 21 years of age • Caretaker relatives are also included if they: Live with a dependent child and are within the acceptable degree of relationship - are not categorically needy AND meet medically needy income/asset tests. - No deprivation requirement Income limit is MNIL for family size

Asset limit is FMA limit ($2,000 for one - $3,000 for two and additional $100 per child As long as unit remains eligible

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

Page 5

Official source

June 2021

F12—EMS F12—Code not used in ImpaCT

2540.56

HUSKY A Categorically Needy Ribicoff Children

Children who are between 19-20 yrs of age and meet AFDC income/asset requirements • Typically 19 and 20 yrs old living independently

This age group also may apply for Medicaid Low Income Adult

Use “SD” deemor code for parents As long as age and income tests are met

Go to the DEEM screen to enter the numbers of dependents

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

F25 (Pre-MAGI)—EMS F25 (Pre-MAGI)—Code not used in ImpaCT

2540.58

HUSKY A Children

Children who are between the ages of 1 and up to 19

Cooperation with child support is a requirement of this coverage group; However, penalty for non-cooperation is to remove parent only, child remains eligible under F25

Lump sums are treated as income for F25

Lump sums are treated as assets for F07

Assets are excluded for F07

If lump sum causes ineligibility under F25, move child to F07 Compare AI of AU to Federal Poverty Level (185%) for needs group size.

Parents and siblings in other coverage groups are coded “OC”, undocumented parents are coded “IP” for deeming purposes. Link to 5020.10.

No asset test End of month in which child turns 19 or end of month when inpatient medical service terminates

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

*** F25 is replaced with X25

F95—EMS F95—Code not used in ImpaCT

2540.68

HUSKY Medically Needy Children - under MNIL

Asset limit is FMA limit ($2,000 for one - $3,000 for two and additional $100 per child As long as unit remains eligible

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