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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 | 9 Effective Month: September 2023 • DOM must provide Medicaid for an extended period following termination of pregnancy to women who applied for and were eligible and received Medicaid services on the day that their pregnancy ends. This period extends from the last day of pregnancy through the end of the month in which a 12-month period ends. • Eligibility must be provided regardless of changes in the woman’s financial circumstances that may occur within this extended period. • A review is required at the end of the 12-month period.

Mandatory Coverage of Newborns Coverage is mandatory for infants born to Medicaid eligible mothers. The infant is deemed eligible for one (1) year from the date of birth. This provision applies in instances where the labor and delivery services were furnished prior to the date of application and covered by Medicaid based on retroactive eligibility. The Division of Medicaid is responsible for certifying eligibility for deemed eligible newborns. Coverage is mandatory for infants born to qualified or non-qualified alien mothers who qualify for Medicaid on all factors other than alien status who receive Medicaid based on emergency medical services, provided an application for emergency services is timely filed with the Division of Medicaid.

Mandatory Coverage of Infants and Children under Age 19 Coverage is mandatory for the following age-specific groups of children certified by the Division of Medicaid: • Infants to age 1 in households whose income is at or below 185% of the federal poverty level converted to a MAGI-equivalent standard. • Children age 1 to age 6 whose income is at or below 133% of the federal poverty level converted to a MAGI-equivalent standard. • Children age 6 to age 19 are eligible for Medicaid if household income is at or below 133% of the federal poverty level. This limit is not converted to a MAGI-equivalent because federal law specifies 133% as the maximum limit.