Receiving Medicaid

A child is eligible for Newborn Medicaid if born to a woman eligible for and receiving Medicaid under any class of assistance (COA), including PeachCare for Kids®, Supplemental Security Income or any Aged, Blind and Disabled COA (except Q-track and Spenddown in suspense status), or to a woman receiving Emergency Medical Assistance.

A child born to a woman who is in Medically Needy suspense status on the day of delivery is ineligible for NB Medicaid. Spenddown must be met on or before the date of delivery for the child to qualify for NB. A newborn would not be eligible for NB Medicaid if born to a mother receiving in a Planning for Healthy Babies® COA until a continuing Medicaid determination is completed and she is eligible for a full Medicaid class of assistance. A child born to a woman who only received Presumptive Eligibility Medicaid and was not approved for Pregnant Woman (PGW) Medicaid is not eligible for Newborn Medicaid as presumptive does not cover labor and delivery.

Eligible for and receiving Medicaid is defined as follows:

The woman’s Medicaid application was filed and approved prior to the birth of the child. OR

The woman’s application for Medicaid was filed prior to the birth of the child, approved after the birth of the child, and the approval covered the date the child was born. OR

The woman’s application for Medicaid was filed and approved after the birth of the child and the approval covered the date the child was born.