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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL CH5 OBRA baby N/A Children born to Medicaid eligible mother deemed eligible for 12 months from month of birth. Only OBRA if not eligible under the child groups. CA Non-Parents 19–64 years old *CA/J- Incarcerated Non- Parents 19-20 years old < 138% FPL Cannot be pregnant; Cannot be Medicare eligible; Cannot be eligible in another Medical group. *CA/J- Incarcerated adults are eligible 30 days prior to their release date for limited Medicaid services. NC Nevada Check-Up – the state CHIP program for children under 19 *NC/J- Nevada Check-Up- the state CHIP program for incarcerated children under 19. Children under 6: 166%-205% Children 6-18: 139%-205% FPL Premium payment required; Cannot have other medical insurance at initial application or annual redetermination; Cannot be Medicaid eligible. *Incarcerated youth up to age 19 are eligible 30 days prior to their release date for limited Medicaid services. TR Transitional Medicaid > 139% 12 months of continuous eligibility for HH losing eligibility due to increase in earned income of a parent/caretaker, if HH parent/caretaker was eligible for and received AM in 3 of the last 6 months. PM Post Medical N/A 4 months continuous eligibility for household that lose AM eligibility due to an increase in Spousal Support. EM2 Emergency medical expanded adult group Adults with income >AM limit but less than 138% FPL Must meet all eligibility criteria of AM1 with exception of citizenship EM4 Emergency medical coverage for all groups covered prior to ACA Parents < AM Payment; Children 0-5 < 165% FPL; Children 6-18 < 122% FPL; Pregnant Women < 190% Must meet all eligibility criteria of AM, CH with the exception of citizenship. EM8 Emergency medical expanded children’s group Children 6-18 123%-138% Must meet all eligibility criteria of CH1 with exception of citizenship APPENDIX A INCOME RESOURCE CHARTS MAGI MEDICAL GROUPS, CONT Division of Social Services Medical Assistance Manual 25 July MTL 06/25