400.17.02 PREGNANT MINORS

Official source

Pregnant minors who are eligible solely due to pregnancy are placed in COE-088. If a minor, under age 19, is eligible in any other Medicaid full-service category of eligibility, there is no need to transition the minor to COE-088 since pregnancy-related benefits will be provided in the COE in which she is eligible. If a pregnant minor is eligible in CHIP, transition the child as instructed in 101.19.01, Transitioning the Pregnant CHIP Child to Medicaid COE-088. If income of the CHIP family exceeds 194% (COE-088 limit), the CHIP child will still be transitioned to COE-088 because of the income liberalization in place for pregnant minors, as follows: • On and after December 31, 2013, and continuing, all income is disregarded in determining eligibility for a pregnant minor in COE-088. This includes income received by the minor and any/all parental and/or spousal income that is subject to inclusion in the minor’s Medicaid budget. • Prior to December 31, 2013, parental income was disregarded in determining eligibility for a pregnant minor in COE-088, but the minor’s own income, if any, counted toward her COE-088 eligibility. This provision was implemented July 1, 1993, and continued through 12/30/2013. All income is disregarded for a pregnant minor in COE-088. The single minor is treated as a household of one plus the number of babies expected. The married minor is included in the household with the spouse plus the number of babies expected.

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400.17.02 PREGNANT MINORS

Official source

Pregnant minors who are eligible solely due to pregnancy are placed in COE-088. If a minor, under age 19, is eligible in any other Medicaid full-service category of eligibility, there is no need to transition the minor to COE-088 since pregnancy-related benefits will be provided in the COE in which she is eligible. If a pregnant minor is eligible in CHIP, transition the child as instructed in 101.19.01, Transitioning the Pregnant CHIP Child to Medicaid COE-088. If income of the CHIP family exceeds 194% (COE-088 limit), the CHIP child will still be transitioned to COE-088 because of the income liberalization in place for pregnant minors, as follows: • On and after December 31, 2013, and continuing, all income is disregarded in determining eligibility for a pregnant minor in COE-088. This includes income received by the minor and any/all parental and/or spousal income that is subject to inclusion in the minor’s Medicaid budget. • Prior to December 31, 2013, parental income was disregarded in determining eligibility for a pregnant minor in COE-088, but the minor’s own income, if any, counted toward her COE-088 eligibility. This provision was implemented July 1, 1993, and continued through 12/30/2013. All income is disregarded for a pregnant minor in COE-088. The single minor is treated as a household of one plus the number of babies expected. The married minor is included in the household with the spouse plus the number of babies expected.