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MRG UPDATED: JUNE 2010 55 CATEGORICAL FACTORS PREGNANCY/NEWBORNS Policy: Pregnant women are eligible for Medicaid, if they meet all other eligibility requirements. 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) References: SSL Sect. 366 366-ee Dept. Reg. 360-3.3(b)(4) 360-3.3(c)(5) ADMs 10 OHIP/ADM-01 01 OMM/ADM-6 OMM/ADM 97-2 95 ADM-21 90 ADM-9 87 ADM-39 85 ADM-33 85 ADM-13 80 ADM-47 INF 00 OMM/INF-01 GISs 10 MA/011 10 MA/006 09 MA/027 00 MA/024 91 MA042 Interpretation: A pregnant woman applying for health insurance is not eligible for Family Health Plus (FHPlus). A woman who becomes pregnant after enrolling in FHPlus is counseled on her options of either remaining in FHPlus until the end of her pregnancy and the 60 day post-partum period or switching to full Medicaid coverage. The counseling includes providing information on the services available under Medicaid compared to FHPlus, and assisting the woman in determining if her current providers also participate in Medicaid fee-for-service or managed care. Pregnant women with household income equal to or less than 100% of