Page 3

MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI B-140 MAGI MEDICAL CATEGORIES Division of Welfare and Supportive Services Medical Assistance Manual 24 Apr 02 MTL 03/24 EMERGENCY MEDICAID MAGI B-110.1 Joint Custody In cases involving parents with joint custody (parents share physical custody of the children), regardless of a court order, the worker should assume the applicant (parent submitting the application) is the primary custodial parent unless evidence to the contrary is presented. If the applicant states s/he is the primary custodial parent, no additional information is required. The case should be processed using normal case processing policy. a. When the applicant is uncertain whether s/he is the primary custodial parent, the worker must inquire further. By gathering the facts such as where the child(ren) are zoned for school, the parent responsible for providing daycare and/or medical care, which parent claims the child(ren) as dependent(s) on the income tax return, etc., the worker should be able, using prudent judgment, to determine if the applicant is the primary custodial parent. If the facts obtained from the inquiry indicate the applicant is the primary custodial parent, the case should be processed using normal case processing policy. Consider the time spent with the other parent as a temporary absence. b. When the applicant claims “true” joint custody, all of the following must exist: • the child(ren) actually alternate between parents each week (or some period less than a month); and • both parents exercise parental guidance and control; and • both parents provide equal financial support (no child support ordered or voluntarily being paid); and • the applicant is unwilling to indicate the primary custodial parent. If any one of the statements in “b” above is not present, “true” joint custody does not exist and the worker should process the case according to “a” above. B-115 PREGNANT WOMAN AND POSTPARTUM (435.4, 435.116, 435.911) Provides medical assistance to: a. Pregnant women during pregnancy and the extended 12-month postpartum period. Note: Postpartum services are provided for 12-months following the child’s birth month. Pregnant women must apply for assistance while pregnant to receive postpartum services. A Medicaid eligible woman who becomes pregnant is considered to have applied for assistance while pregnant and is eligible for postpartum services. • Pregnant women with countable household income that is at or below 190% FPL for the applicable family size. Note: Each unborn is counted as an additional member when determining the assistance unit size for the pregnant woman’s assistance unit. Once eligibility is established, a pregnant woman remains eligible for medical coverage throughout the pregnancy and postpartum period regardless of changes in countable income and cooperation with child support. The pregnant and postpartum woman must still meet residency and TPL requirements.