Coverage Hierarchy Order 510-03-105-05

(Revised 1/18/2023 ML #3697)

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This Reference Hard Card explains the order in which eligibility is tested under ACA Health Care Coverage.

Coverage Hierarchy Order (Highest to Lowest) COEs DESCRIPTION COEs DESCRIPTION 1 M098 Non IV-E State or Tribal Foster Care Children 2 M091 ACA Former Foster Care Child 3 M067, M67A, M095 ACA Children 4 M066 ACA Pregnant Woman 5 M063 ACA Parent/Specified Caretaker Relative 6 M086 ACA Transitional Parent/Specified Caretaker Relative 7 M088 ACA Extended Parent/Specified Caretaker Relative 8 M087 ACA Transitional Children 9 M061 ACA Extended Children 10 M078 Optional Children's Group 11 M075, M069, M064 Medicaid Breast and Cervical Cancer Early Detection Program 12 M062, M76A ACA Adult 19 or 20 13 M058, M059, M077, M089, M060, M065 Adults Medically Frail 14 M076 ACA Adult Expansion 15 M081 Emergency Services