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UPDATED: JUNE 2010
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OTHER ELIGIBILITY REQUIREMENTS HOUSEHOLD COMPOSITION
LOW INCOME FAMILIES (LIF), ADC-RELATED, PREGNANT WOMEN AND CHILDREN
Interpretation: When determining eligibility, initially include all the Must counts and May counts in the household. In the event that the applicant(s) are not found eligible, the May Counts should be removed from the household. This option must be explained to the applicant. It is the A/R's choice of who is applying and who of the May Counts are counted in the household size.
A child who is eligible for and receiving Adoption Assistance payments is automatically eligible for Medicaid.
A single individual under age 21 living separate and apart from his/her parents is a one-person household.
Disposition: Families with children under age 21 residing in the household, persons under age 21 living alone, and pregnant women may all be eligible under LIF. This group includes families without a deprivation factor as well as families with a deprivation.
The household size of a pregnant woman is increased by one to account for the additional needs associated with pregnancy regardless of the number of expected births.
Children not found eligible for Medicaid, must be referred to Child Health Plus for an eligibility determination.
(MRG)