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individual's eligibility will then be redetermined by eligibility system without the post-eligibility budget.
2426.00.00 PREGNANCY (MED 3) Within the MED 3 category, the policy stated in this section applies only to MAMA and MAGP (For definition, see Section 1620.50.00). To qualify for assistance under these categories, the pregnant woman must self-attest that she is pregnant.58 These categories are calculated with MAGI methodology and a woman must be found income eligible in the month of application to be eligible for retro and ongoing coverage.59
Pregnant women may receive assistance under other categories of assistance, if otherwise eligible, per the rule of first category (i.e., MASI, MA D, MADW, MADI). Once determined eligible, a pregnant woman’s coverage is maintained throughout the pregnancy (without regard to changes in income) and until the end of the 12-month postpartum period.
2428.00.00 NEWBORN STATUS (MED)
The policy stated in this section only applies to a child born to a woman who is eligible and enrolled in any MA category (except MA10) on the date of birth, even if retroactively found eligible. The infant is eligible for 12 continuous months of coverage in the aid category MA X if the child continues to live in Indiana. This policy also includes infants born to mothers who are eligible for emergency Medicaid services only. An application is not required, and the only eligibility factor considered at the time of the birth is that the infant's birth mother was eligible for Medicaid. The infant will automatically be eligible for 12 months of continuous coverage which can only be interrupted due to loss of Indiana residency, voluntary withdrawal from the caretaker/parent (See 2250.00.00 for written/verbal voluntary withdrawal policies), or death of the child.
Refer to Section 2225.10.00 for case processing information and Information about adding a newborn to the case. The newborn must be enrolled in Medicaid without delay.