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Medicaid Eligibility Manual Eligibility Determinations

Issued March 01, 2024 Page 4 of H-1900 Replacing February 27, 2024 Revised/added text indicated by underscore Deleted text indicated by “**” extended postpartum period for non-qualified non-citizens are limited to services for the treatment of an emergency medical condition.

Populations not eligible for extended postpartum:

• Individuals who fail to provide verification of citizenship or immigration status after a reasonable opportunity has been allowed.

• Individuals enrolled in:

o LaCHIP Phase IV (Unborn Child Option) o Hospital Presumptive Eligibility o Refugee Medical Assistance, or o State funded programs (Category 15)

Individuals eligible for extended postpartum continuous eligibility who reach max age and are not otherwise eligible must remain enrolled in current type of assistance through the end of their postpartum period. A reduction in benefits or closure is not allowed during the 12-month postpartum period (except for those reasons listed).

Renewals are completed at the end of the extended postpartum period for individuals receiving extended postpartum coverage because the individual is continuously eligible.

Example:

Sydney applies for and enrolls in the Medicaid eligibility group for pregnant individuals on June 1, 2022. Sydney’s pregnancy ends on December 15, 2022. She is eligible for extended postpartum continuous eligibility until December 31, 2023. Her renewal will be completed at the end of the extended postpartum period; she has continuous eligibility during pregnancy through the end of the extended postpartum period.

Refer to H-1810 Retroactive Medical Eligibility for more information.