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Effective Date: April 1, 2009

Approval Date: ____________ 20

4.1.2-P. Age: Pregnant women with no age limitation

4.1.3-P. Income:

Pregnant women with gross income greater than 185% and not to exceed 200% FPL

4.1.4-P. Resources:

4.1.5-P. Residency:

Must be a current New Jersey resident (residency requirement is not based on length of time in state).

4.1.6-P. Disability:

4.1.7-P. Access to or coverage under other health coverage:

Applicants must be uninsured. New Jersey will utilize a three-month crowd- out provision for group health insurance coverage, with exceptions for situations such as expiration of Consolidated Omnibus Budget Reconciliation Act (COBRA) coverage. In addition, an applicant may voluntarily terminate coverage under COBRA, or any other health insurance purchased through the individual market, in order to be considered for NJ FamilyCare eligibility. There is no asset test or cost sharing. Retroactive eligibility is available for this population.

4.1.8-P. Duration of eligibility:

Coverage is provided until 60 days following delivery.

4.1.9-P. Other standards (identify and describe):

Title XXI is a federal means tested program and therefore subject to the same alien restrictions as the Title XIX program. Accordingly, benefits are available only to children who are qualified aliens and who are not subject to the five-year bar or who have a parent on active military duty or who is a veteran. Qualified aliens include aliens lawfully admitted for permanent residence, asylees, refugees, aliens paroled into the United States for a period of at least 1 year, aliens whose deportation is being withheld, conditional entrants, and Cuban/Haitians.

4.2. The state assures that it has made the following findings with respect to the eligibility standards in its plan (Section 2102)(b)(1)(B)) (42CFR 457.320(b)).