400.18.01 INFANTS TO AGE 1 – COE-071

COE-071 covers infants from birth to age 1. It is the COE used for placement of deemed newborns as well as infants whose mothers were not covered by Medicaid for the birth month of their infant but whose household income does not exceed the COE- 071 MAGI-equivalent limit of 194% FPL. If the infant is not a deemed eligible infant, a MAGI application is required in order to determine eligibility for a child under age 1. Deemed eligible infants are reviewed for continued eligibility via a pre-populated review form sent to the parent or caretaker at the end of the first year of life. If a non-deemed infant is added to COE-071 at any point during the first year of life and will age out of COE-071 during the child’s 12-month protected period of eligibility, MEDS will automatically review the child for placement in an alternate COE at the time the child’s case is processed for approval. • If household income does not exceed 143% FPL, which is the MAGI-equivalent limit for COE-072 that covers children age 1 to age 6, MEDS will place the child in COE-072 in the month after the child turns age one. The notice issued at approval will inform the parent or caretaker of the change. • If household income exceeds 143% FPL and the child is uninsured, MEDS will place the child in CHIP coverage (COE-099) effective with the month after the child turns age 1. The notice issued at approval will inform the parent or caretaker of the change. • If household income exceeds 143% FPL and the child is insured and therefore cannot be placed in CHIP, the approval notice for COE-071 will inform the parent/caretaker of the child’s ending date of eligibility, which is the end of the month in which the child reaches age 1.