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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews P a g e | 15 Effective Month: September 2023 Optional Waiver Coverage – Family Planning Section 1115 waiver coverage provides family planning and family planning related services to certain individuals who have family income at or below 185% of the federal poverty level converted to a MAGI-equivalent standard of federal poverty level. Waiver eligibility requirements include the following: • Women and men, ages 13 – 44, may qualify for waiver participation. • Waiver participants may not be otherwise eligible for Medicare, Medicaid, CHIP or other health insurance that includes coverage of family planning services. • Individuals who have had surgery to prevent reproduction cannot qualify for waiver participation, • MAGI non-filer household rules are applied to family income, excluding any non-taxable income sources. Applicants under the age of 19 are budgeted as a household of one with parental and other income disregarded. The Division of Medicaid determines eligibility for participation in the Family Planning Waiver. 101.02.05 OPTIONAL CATEGORICALLY NEEDY – ABD Optional Coverage of the Aged, Blind and Disabled Living At-Home The Division of Medicaid certifies eligibility in full or in part for the following groups of optional ABD groups: • Disabled individuals who work more than an established number of hours each month whose net family earned income is at or below 250% of the federal poverty level and whose unearned income is at or below 135% of the federal poverty level. Resource limits and other non-financial factors of eligibility are required. Premiums are payable for households with countable earnings that exceed 150% of the poverty level. • Women who have been screened for breast or cervical cancer under the Centers for Disease Control and Prevention Breast and Cervical Cancer Early Detection Program and need treatment for breast or cervical cancer, including a precancerous condition of the breast or cervix. Coverage is limited to women who are uninsured and are otherwise not eligible for Medicaid under any other mandatory coverage group and