1855.020.70 Ineligible for Any Other MO HealthNet Programs – DSS Manuals

IM-01 January 3, 2023 ; IM-110 December 31, 2015

An unborn child is ineligible for the Show-Me Healthy Babies (SMHB) program if their mother is eligible for any other MO HealthNet (MHN) program that provides full benefits and does not require a premium or a spend down in exchange for coverage.

Note: Explore eligibility for any MHN program that does not require a premium or spend down prior to exploring eligibility for SMHB.

Exception: If the pregnant woman is receiving Uninsured Women’s Health Services (UWHS), Extended Women’s Health Services (EWHS), premium CHIP coverage, or MO HealthNet for Aged, Blind, and Disabled (MHABD) Spend Down program she may still be eligible for SMHB. When this occurs, approve SMHB before closing the existing coverage.