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MRG UPDATED: JUNE 2010 52 CATEGORICAL FACTORS UNDER AGE 21 Policy: Persons under the age of 21 are eligible for Medicaid if they meet all other eligibility requirements. For Medicaid purposes, a person under the age of 21 is a child. References: SSL Sect. 366 366.1(a) (5) 366-ee Dept. Reg. 360-3.3(b) (3) ADM 10 OHIP/ADM-01 01 OMM/ADM-05 GIS 09 MA/027 Interpretation: All children under age 21 regardless of school attendance, marital status or relationship to other members of the family are potentially eligible for Medicaid. The child’s eligibility is first determined using Low Income Families (LIF) budgeting. (See INCOME LOW INCOME FAMILIES (LIF) BUDGETING METHODOLOGY) If the child is ineligible under LIF budgeting the child’s eligibility is determined using the ADC-related budgeting methodology. (See INCOME ADC- RELATED DISREGARDS ADC-RELATED BUDGETING) If the child is ineligible under ADC-related budgeting and under the age of 19, the child’s eligibility is determined under the appropriate expanded poverty level programs. If the child is certified blind or certified disabled his/her eligibility may be determined using SSI-related budgeting. (See INCOME SSI-RELATED BUDGETING METHODOLOGY) Children between the ages of 19 and 21, who are not determined eligible under the aforementioned categories, must have their eligibility evaluated under Family Health Plus. If the person is not eligible under FHP, eligibility is determined for the Family Planning Benefit Program, etc. NOTE: Infants under age one (1) or a baby born to a woman in receipt of Medicaid, including FHPLus, FPBP, etc., at the time of birth, is automatically eligible for Medicaid until the end of the month the baby turns one (1). (See CATEGORICAL FACTORS MEDICAID EXTENSIONS/CONTINUATIONS)