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COMAR 10.09.24.03

306 State of Maryland Medical Assistance Manual Revised July 2012 (b) Pregnant Women, (c) Maryland Children’s Health Program (MCHP) (P-Track) MCHP Premium (D-Track) The Maryland Children‟s Health Program (MCHP) gives full health benefits for children up to age 19 who are enrolled in D04 if their parent or caretaker relative is willing to pay the P- Track and MCHP monthly premium and if their household income is above $250% and at or below 300% of the FPL. In addition it covers Pregnant Women of any age who meets the income guidelines. MCHP enrollees obtain care from a variety of Managed Care Organizations (MCOs) through the Maryland Health Choice Program. The certification period for a child in MCHP is 12 months. Redeterminations for MCHP and MCHP Premium cases will be mailed every 12 months with the exception of Pregnant Women cases. There are no redeterminations for Pregnant Women since pregnancy status is not continuous. MCHP Eligibility Criteria An applicant must meet both technical and financial eligibility criteria for MCHP. Technical factors include permanent Maryland resident or (intent to stay), citizenship and identity or qualifying immigration status. Immigrants whose immigration status does not qualify them for full coverage may be eligible for services received to treat an emergency condition; As a condition for eligibility, the applicant (child or Pregnant Woman) must provide the LDSS or LHD with their Social Security number; Eligibility cannot be denied, delayed or discontinued pending the issuance of the Social Security number; Social Security numbers can be verified through the State Verification and Exchange System (SVES); Financial eligibility: family income is within income standards for the size of the family. Income standards are based on the FPL and change annually. Income of a Care Taker Relative Other than Parent (CTROP) is not counted when determining financial eligibility; To be eligible, children must be under age 19 and have a family income at or below 200% of the FPL for free coverage in MCHP; To be eligible as a Pregnant Woman, the woman of ANY AGE must be pregnant or in the first or second postpartum month and have family income at or below 250% of the FPL; Resource consideration is not considered when determining MCHP eligibility.

Application

A person who wishes to apply for MCHP must submit a signed application form or Eligibility Determination Document (DHR/FIA 9701) to their LHD/LDSS or Apply online at www.marylandsail.org