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UPDATED: JULY 2008

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INCOME FEDERAL POVERTY LEVELS

MEDICAID EXPANDED INCOME LEVELS

When the A/R is pregnant and the pregnancy is medically verified, the household size is increased by one, effective the month of conception or three months prior to the month of application, whichever is later.

When determining eligibility for a pregnant woman, appropriate income disregards (See INCOME ADC-RELATED DISREGARDS) are subtracted before comparing the remaining income to the Medically Needy Income level, the Medicaid Standard, or 100% of the federal poverty level, whichever is higher/most beneficial. When the A/R's household income is equal to or less than the appropriate level, the pregnant woman and any children under age 19 are fully eligible for Medicaid. If the pregnant woman’s income exceeds 100% FPL, compare to 200% FPL. When the A/R's family income is equal to or less than 200% FPL, the pregnant woman is eligible for Medicaid coverage of perinatal services. Perinatal care includes all Medicaid services necessary to promote a healthy birth outcome from the determination of pregnancy through the postpartum period. A pregnant woman whose income exceeds 200% FPL must spend down to the medically needy level to be eligible.

When determining eligibility for an infant under age one, subtract the appropriate income disregards. The household income of the infant is compared to the Medically Needy Income level or the Medicaid Standard (and MBL Living Arrangement Chart, as appropriate) whichever is most beneficial. If ineligible under that level, household income is then compared to 200% of the poverty level. The infant under one is fully eligible for Medicaid if household income is equal to or less than 200% of the poverty level.

When determining Medicaid eligibility for a child from the age of one (1) through 18, the household income of the child, after appropriate disregards, is compared to the Medically Needy Income level or the Medicaid Standard, (and MBL Living Arrangement Chart as appropriate) whichever is most beneficial. If income exceeds the appropriate level, compare to 133% of the poverty level. A child under the age of 19, with household income

(MRG)