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ACA/FAMILY MEDICAID 201-14 Plan First Supersedes: NEW Reference: 42 CFR 435.214; ARM 37.82.101, .701, .702, .703; Overview: Plan First is a Montana Medicaid Waiver that covers family planning services for eligible women age 19 through 44, that are not currently pregnant and able to bear children, with income up to 211% FPL; That are not eligible for any other program other than a MSP (Medicare Savings Program). FINANCIAL CRITERIA: Income is determined under MAGI rules and cannot exceed 211% FPL (plus a 5% disregard). Plan First is not eligible for retro coverage. NON-FINANCIAL CRITERIA: Medicaid standard nonfinancial requirements are listed in section CMA 300 Non- Financial Overview. In addition to the standard criteria that applies to all Medicaid programs, the following nonfinancial criteria are specific to Plan First: 1. Must be female age 19 through 44; 2. Montana Resident; 3. Able to Bear Children, and Not Currently Pregnant; 4. Cannot be eligible for any other Medicaid program other than MSP (Medicare Savings Program). FILING UNIT: Required filing unit members are determined based on tax filing rules. See FMA 200-1 ACA Filing Unit for ACA unit requirements. PLAN FIRST COVERAGE ENDS: Plan First coverage closes when the client: 1. Reports they have had a sterilization procedure (i.e. hysterectomy, tubal ligation), or are unable to bear children;