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MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI b. 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 Third-Party Liability (TPL) requirements. Verification: Customer attestation must be accepted for verification of pregnancy, estimated date of confinement and the number of unborns. B-120 INFANTS AND CHILDREN UNDER AGE 19 (42 CFR 435.118, 42 CFR 435.911, 42 CFR 435.926) Provides medical assistance to children who are: a. Under the age of 19; and b. Household income that is at or below the FPL for the child’s age and applicable family size. 1. Children zero (0) through five (5) up to 165% (CH aid code) 2. Children six (6) through 18 up to 122% (CH aid code) 3. Children six (6) through 18 above CH up to 138% (CH1 aid code) • Children under this category cannot be enrolled in Medicare. • Children under this category cannot have other major medical coverage. Note: Individuals under the age of 19 who claim either Tax-Filer or Non-Filer status must follow all rules associated with their tax status (see MAM E-105 Assistance Unit Determination). The agency will provide infants and children under the age of 19 with 12 months of Continuous Eligibility (CE) coverage, regardless of changes in income, resources, or parental cooperation. During the CE period, infants and children may only be terminated for one of the following reasons: • The child attains the age of 19; • The child or child’s representative requests a voluntary termination of eligibility; • The child ceases to be a resident of the state; • The agency determines that eligibility was erroneously granted at the most recent determination, RD, or renewal of eligibility because of agency error or fraud, abuse, or perjury attributed to the child’s representative; or • The child is deceased. B-115 MAGI MEDICAL CATEGORIES PREGNANT WOMAN AND POSTPARTUM Division of Welfare and Supportive Services Medical Assistance Manual 25 Apr MTL 05/25