400.18.03 CHILDREN AGE 6 TO AGE 19 – COE-073

COE-073 covers children age 6 to age 19 whose household income does not exceed the MAGI-equivalent level of 107% FPL. This group is unique in that there is no 5% disregard that applies to the MAGI-equivalent income limit. If household income exceeds 107% FPL, a child age 6 to age 19 moves to the next available COE for this same age range, which is COE-074 that provides Medicaid coverage to children in households with income at/below 133% FPL or, if the child is uninsured, to CHIP coverage if household income does not exceed the MAGI-equivalent limit of 209% FPL. When a child active in COE-073 reaches age 19, eligibility as a MAGI-related child ends. Continued coverage is possible only if the child is a parent/caretaker of a child under age 18 or if the child is disabled and can qualify for Medicaid under ABD Medicaid coverage. The approval notice issued at renewal prior to the child’s 19th birthday informs the parent/caretaker of the child’s Medicaid termination at age 19.