Page 58
MRG UPDATED: JUNE 2010 57 CATEGORICAL FACTORS PREGNANCY/NEWBORNS of the person and the organization providing the information and the date. (d) Any official government, medical or church record continues to be an acceptable form of documentation of birth. (e) Individuals who are initially eligible for Medicaid as a “deemed” newborn are considered to have provided satisfactory documentation of citizenship and identity, by virtue of being born in the United States, and will not be required to further document citizenship or identity at any subsequent Medicaid eligibility redetermination/renewal. NOTE: Verification is NOT required for name, date of birth, or social security number in order to provide the one-year extension for the newborn. Disposition: The eligibility of a pregnant woman is determined first under the LIF budgeting methodology. If ineligible under LIF budgeting, eligibility is determined using ADC-related budgeting methodology. If ineligible under ADC-related budgeting, the poverty levels are used for the pregnant woman and other children residing with her. This includes two-parent families. (See CATEGORICAL FACTORS UN/UNDEREMPLOYED TWO-PARENT HOUSEHOLDS) There is no resource test for pregnant women and newborns. Pregnant women are requested to voluntarily provide their social security number. However, pregnant women cannot be denied Medicaid for failure to provide an SSN. NOTE: Pregnant women have a right to apply for presumptive eligibility (See OTHER ELIGIBILITY REQUIREMENTS PRESUMPTIVE ELIGIBILITY) at the site of a provider. NOTE: When an LDSS is notified via WMS Report WINR 5225 (Upstate) or WINR 0796 (NYC), or through any other means that a baby has been born with a low birth weight designation (weighing less than 1200 grams at birth), and the mother is in a managed care plan, the LDSS must inform the health plan in writing within 5 days. The 5 day clock begins on the day that the district received such notification. Notification to the plan may be made in electronic form.