Current through Register Vol. 42, No. 11, August 30, 2024
(1) Pregnant
women are defined as "women who are pregnant or post-partum, with household
income at or below 141% of the Federal Poverty Level (FPL)".
Medicaid coverage under MAGI-related coverage groups is
available for pregnant women meeting the requirements listed below:
(a) The household income must be equal to or
less than 141% of the current federal poverty level. A standard income
disregard of 5% of the federal poverty level is applied if the individual is
not eligible for coverage due to excess income.
(b) Self-attestation must be accepted for
pregnancy unless there is information that is not reasonably compatible with
such attestation.
(c) The
individual must be pregnant or post-partum.
(d) The person to be covered must be living
in Alabama and must be a United States citizen or meet alienage
requirements.
(e) Any private
insurance benefits must be assigned to the State.
(f) Application must be made for any other
benefits for which the person's family appears eligible.
(g) Changes in income and/or living
arrangements must be reported at annual review.
(h) The person to be covered must furnish or
apply for a Social Security number.
(2) Children age 0 -18 are defined as
"infants and children under age 19 with household income at or below 141% of
the Federal Poverty Level".
Medicaid coverage under poverty provisions is available to
children age 0 -18 with income at or below 141% of the Federal Poverty Level
meeting the requirements listed below:
(a) The household income must be equal to or
less than 141% of the current federal poverty level. A standard income
disregard of 5% of the federal poverty level is applied if the individual is
not eligible for coverage due to excess income.
(b) The child must be 0 - 18 years
old.
(c) Children's eligibility
will continue through the month of their 19th
birthday.
(d) The child to be
covered must be living in Alabama and must be a United States citizen or meet
alienage requirements.
(e) Any
private insurance benefits must be assigned to the State.
(f) Application must be made for any other
benefits for which the person's family appears eligible.
(g) Changes in income and/or living
arrangements must be reported at annual review.
(h) The person to be covered must furnish or
apply for a Social Security number.
Author: Denise Banks, Associate Director, Policy
and Training, Beneficiary Services Division
Statutory Authority:
Section
6401 of
P.L.
101-239, Omnibus Budget Reconciliation Act of 1989
(OBRA 89). Section
4601 of
P.L.
101-508, Omnibus Budget Reconciliation Act of 1990
(OBRA 90).
