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Appendix H – ME Codes Chart for MO HealthNet Programs Newborn qualifying ME codes (all are Title XIX) Not Newborn qualifying ME codes ME Code Program Hierarchy Level ME Code Program Hierarchy Level Title or Funding Source 01 Old Age Assistance (OAA) 10 02 Blind Pension (BP) 16 State Only 03 AB and SAB 10 08 Child Welfare Services (CWS)/ Foster Care 3 State Only 04 PTD 7 09 GR (currently not used)

State Only 05 MHF-Adults 7 10 MHN – Refugee other than Cuban, Haitian, Russian Jew, Ethiopian

06 MHF-Children 7 17 Refugee AFDC (not currently used)

07 Foster Care 1 19 MO HealthNet Assistance – Cuban Refugee

11 MHABD (OAA) (if Spend Down, must be met by child’s date of birth) 10 20 Refugee AFDC (not currently used)

12 MHABD (AB) (if Spend Down, must be met by child’s date of birth) 10 21 MHN – Haitian Refugee

13 MHABD (PTD) (if Spend Down, must be met by child’s date of birth) 10 22 NOT CURRENTLY USED

14 SNC (OAA) 10 24 MHN – Russian Jew Refugee

16 SNC (PTD) 10 25 Refugee AFDC – (not currently used)

18 MPW MHF 5 26 MHN – Ethiopian Refugee

23 MHK in Vendor Institution 10 27 Refugee AFDC (not currently used)

28 MHK – DMH Foster Care 10 31 PSY – State 1

29 MHK – DYS Foster Care 1 32 PSY – Private 1

30 Juvenile Courts – Foster Care 1 35 IV-E Adoption 1

33 MOCDD – DMH Match 10 39 NOT CURRENTLY USED

34 MOCDD – DSS Match 10 42 NOT CURRENTLY USED

36 MHD IV-E Adopt – FFP Adoption Subsidy 1 46 Refugee Preg (not currently used)

37 MHK – Foster Care, Homeless, Dependent, Neglected (HDN), Title XIX/FFP 1 47 Refugee Preg 60 (not currently used)