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Chapter: 2000 Coverage Groups Program: MSSI, SFP 7 2030.0000 Family-Related Medicaid Family-Related Medicaid has several coverage groups, which will be discussed in detail in this chapter. 2030.0100 FAMILY-RELATED MEDICAID (MFAM) A coverage group is selected based on the individual for whom assistance is requested and individuals in the filing group. 2030.0200 COVERAGE GROUPS (MFAM) The following are the Medicaid coverage groups:

1. Parents and other caretaker relatives 2. Pregnant women 3. Infants and children under age 19 4. Children Ages 19-21 5. Emergency Medical Assistance to Noncitizens 6. Former Foster Care Children 2030.0201 Parents and Other Caretaker Relatives (MFAM) Parents (including step-parents), caretaker relatives, and their spouses living together may receive Medicaid coverage when household income is equal to or below the appropriate income limit. 2030.0202 Extended Medicaid (MFAM) Medicaid must be extended for up to four months if the conditions below are met:

1. The parents and other caretaker relatives and their dependent children become ineligible for Medicaid due solely or in part to the receipt of, or increase in, spousal support for an individual whose needs are included in the assistance group.

2. The parents and other caretaker relatives assistance group was eligible for and received Medicaid as a parent or other caretaker relative in at least three of the six months preceding the month of ineligibility. The three months can include months in which Medicaid was received in another state.

3. Only those members included in the benefit computation for the month prior to cancellation are entitled to extended Medicaid. 2030.0203 Transitional Coverage (MFAM) Transitional coverage provides extended coverage for up to 12 months, beginning with the month of ineligibility. Changes during this period, other than the child turning 18 or loss of state residence, do not affect the transitional Medicaid period. An ex parte determination must be completed prior to cancellation at the end of the transitional period.

Conditions that must be met:

1. The assistance group must be ineligible for Medicaid based on initial receipt of earned income or receipt of increased earned income by the parent or caretaker relative. The initial income budgeted for the assistance group must have been below the parent/other caretaker relative income limit (MA R- previously referred to as 1931 Medicaid). If more than one