Basic Considerations

FM-MN is available to pregnant women who meet any of the following conditions:

The budget group (BG) income exceeds the Pregnant Woman Medicaid net taxable income limit.

The pregnant woman would be eligible for Parent/Caretaker with Child(ren) Medicaid upon the birth of the child except the BG net taxable income exceeds the Parent/Caretaker with Child(ren) Medicaid limits.

FM-MN is available to children under 19 years of age who meet any of the following conditions:

The child’s BG income exceeds Children Under19 Years of Age Medicaid and PeachCare for Kids® net taxable income limits.

The child would be eligible for Parent/Caretaker with Child(ren) Medicaid except for excessive net taxable income.

The child is in foster care with income exceeding Parent/Caretaker with Child(ren) Medicaid, CWFC, Children Under 19 Years of Age Medicaid, and PeachCare for Kids® net taxable income limits.

Eligibility for all Family Medicaid COAs (including Children Under 19 Years of Age Medicaid) and PeachCare for Kids® must be ruled out prior to determining eligibility under FM-MN.

Children Under 19 Years of Age Medicaid net taxable income limits vary based on a child’s age. Because of this, it is possible that a younger child may be Children Under 19 Years of Age Medicaid eligible and a sibling may be FM-MN eligible because of Children Under 19 Years of Age Medicaid ineligibility.

All basic eligibility criteria must be met with the exception of living with a relative within the specified degree of relationship and cooperating with DCSS for child only cases. Refer to Chapter 2200, Basic Eligibility Criteria.