Page 17

16

Example 1: • Retro Month 1 – Individual was pregnant but over the income limit for MAGP • Retro Month 2 – individual was pregnant but over the income limit for MAGP • Retro Month 3 – individual was pregnant, and pregnancy ended, and they were under the income limit for MAGP Application month – individual was over the income limit for MAGP. In this case, the individual should be found eligible for retro month 3 and ongoing, as the increase in income should be disregarded until the postpartum period ends.

Example 2: • Retro Month 1 – individual was pregnant but over the income limit for MAGP • Retro Month 2 – individual was pregnant but over the income limit for MAGP • Retro Month 3 – individual was pregnant, and pregnancy ended, and they were still over the income limit for MAGP • Application month – individual was under the income limit for MAGP but fails income test for all other categories In this case, the individual is not eligible for coverage, since she was not eligible for any retro month or the month that pregnancy ended, so income cannot be disregarded for their postpartum period.

Example 3: • Retro Month 1 – individual was pregnant but over the income limit for MAGP • Retro Month 2 – individual was pregnant and under the income limit for MAGP • Retro Month 3 – individual was pregnant, and pregnancy ended, but they were over the income limit for MAGP • Application month – individual was over the income limit for MAGP In this case, the individual should be found eligible for Retro month 2 and ongoing, as the increase in income should be disregarded until the postpartum period ends. 1620.60.00 CHILDREN UNDER AGE 1 (MED 3) This category is identified in IEDSS as MA Y.

To be eligible in this category a child must be under the age of one.26

The income standard for this category is less than or equal to 208% of the Federal Poverty Level and there are no resource requirements. 1620.65.00 CHILDREN AGE 1 - 5 (MED 3) This category is identified in IEDSS as MA Z.