Page 5

MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI B-120.1 Deemed Newborn Children (also known as OBRA) (42 CFR 435.117) Provides medical assistance to children from birth until the child's first (1st) birthday without application if, for the date of the child's birth, the child's mother was eligible for and received covered services under: a. Medicaid (including during a period of retroactive eligibility) regardless of whether services for the mother is limited to an emergency medical condition; or b. NCU as a low-income pregnant woman, with household income at or below 205% of FPL; or c. A lawfully residing non-citizen pregnant woman, who does not meet the five (5)-year bar, who qualifies under the Children’s Health Insurance Program Reauthorization Act (CHIPRA) 214 option with income at or below 190% of FPL. The child is deemed to have applied and been determined eligible effective from the date of birth, and remains eligible regardless of changes in circumstances until the child's first (1st) birthday, unless: a. The child dies; or b. The child is no longer a resident of the State; or c. The child's representative requests a voluntary termination of eligibility. Eligibility for OBRA cannot continue after the child becomes 13 months old. (e.g., if the child is born on 1/5/14, eligibility for OBRA Medicaid is provided from 1/5/14 through 1/31/15. A Redetermination (RD) must be completed for February 2015 and ongoing eligibility). Newborns no longer receive the mother’s aid code. Newborns born to a Medicaid eligible women will be determined eligible for Medicaid based on the household size and income limit starting with CH, then CH1, and will move to CH5 only if the countable income is too high and the newborn would be otherwise ineligible. B-120.2 Nevada Check Up (NCU) - Children with Income Above Medicaid Limits and Below 205% FPL (42 CFR 457) Provides medical assistance to children who: a. Are children under six (6) with income between 166-205% FPL and children six (6)-18 with income between 139%-205% and eligible for at least one (1) month of coverage; and b. Are not eligible for or currently enrolled in any other Medicaid assistance group; and c. Are not currently insured at initial application or annual RD (children with dental, vision and/or insurance coverage inaccessible in Nevada may be evaluated for NCU eligibility. Families may maintain any of the coverage listed here); and B-120.1 MAGI MEDICAL CATEGORIES Division of Welfare and Supportive Services Medical Assistance Manual 25 Apr MTL 05/25 DEEMING NEWBORN CHILDREN (OBRA)