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COMBINED MEDICAID 305-1 Age Supersedes: FMA 304-1 (01/01/07) Reference: 42 CFR 435.201, .222, .308 and .520; ARM 37.82.101; PL 104-193 Overview: Certain coverage groups have age-related limits to be eligible to receive Medicaid coverage. ACA and Family Medically Needy: • Children may be eligible through the month of their 19th birthday; • Parents/Specified Caretaker relatives and pregnant women of any age may be eligible; • Adults age 19 through 64 may be eligible for ACA Adult or ACA Adult Medicaid coverage • Newborn children, eligible under the Child Newborn program, may be eligible through the month of their first birthday ABD: • Disabled children may be eligible through the month of their 18th birthday; • Disabled adults may be eligible through age 64 • Adults, age 65 or older are considered ‘aged’ • PRTF eligibility is limited to individuals age six through 17 • MWD eligibility is limited to individuals age 16 and older • Autism waiver is limited to children age 15 months up to 8 years old Effective Date: July 01, 2016