Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 100 - General Provisions
Chapter 8 - Coverage of the Categorically Needy in Mississippi
Rule 23-100-8.12 - Optional Coverage of Children Elected to be Covered by Mississippi
Current through September 24, 2024
A. Children under the age of twenty-one (21) for whom the Department of Human Services (DHS) assumes full or partial financial responsibility who are in foster homes or private institutions are certified for Medicaid coverage by DHS if the child's income is within state established standards, converted to a Modified Adjusted Gross Income (MAGI)-equivalent standard. Children under age twenty-one (21) in adoptions subsidized in full or part by DHS and children in adoption assistance who cannot be placed for adoption without medical assistance due to special needs of the child are eligible for Medicaid regardless of the child's income, as determined by DHS.
B. Independent foster care adolescents who are in foster care under the responsibility of DHS on their eighteenth (18th) birthday have Medicaid coverage continued until age twenty-one (21) without regard to any change in circumstances such as income or resources. As required by the Affordable Care Act (ACA), former foster children receive Medicaid on a mandatory basis to age twenty-six (26); however, the optional coverage of former foster children to age twenty-one (21) was in place prior to the ACA. The Division of Medicaid, in coordination with DHS, certifies Medicaid coverage for this group.
C. Uninsured children under age nineteen (19) whose household income is at or below two hundred percent (200%) of the federal poverty level converted to a MAGI-equivalent standard are covered by the Children's Health Insurance Program (CHIP), which is a separate health plan. Covered children include: infants to age one (1) whose household income is above the MAGI-equivalent standard of one hundred eighty-five percent (185%) but does not exceed the MAGI-equivalent standard of two hundred percent (200%) of the federal poverty level; children age one (1) to age six (6) whose household income is above the MAGI-equivalent standard of one hundred thirty-three percent (133%) but does not exceed the MAGI-equivalent standard of two hundred percent (200%) of the federal poverty level and children age six (6) to age nineteen (19) whose household income is above one hundred thirty-three percent (133%) of the federal poverty level but does not exceed the MAGI-equivalent standard of two hundred percent (200%).
42 USC § 1396 a; 42 CFR § 435.201; Miss. Code Ann. § 41-86-15.