Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 101 - Coverage Groups and Processing Applications and Reviews Redetermination Processes
Chapter 11 - Continuous Eligibility for Children
Rule 23-101-11.3 - Deemed Eligible Infants

Universal Citation: MS Code of Rules 23-101-11.3

Current through September 24, 2024

A. A deemed eligible infant is defined as a child whose mother was eligible for Medicaid in the child's birth month with no requirement that the child remain with the mother to continue eligibility.

B. The deemed eligible child has continuous Medicaid eligibility for a thirteen (13) month period from the birth month through the month of the first (1st) birthday unless one (1) of the above early termination reasons in Miss. Admin. Code Part 101, Rule 11.2 is applicable.

C. The deemed child's eligibility start date is always the birth month regardless of the date the Division of Medicaid authorizes eligibility for the child.

D. If the mother is not eligible for Medicaid at the time her child is born, she may apply for Medicaid for herself and her newborn.

1. The application must be filed by the end of the third (3 rd) month following the birth month of the child in order for the birth to be covered by Medicaid, if determined eligible.

2. If the mother and newborn are determined eligible, the mother is covered throughout her post-partum period and the newborn is eligible for twelve (12) continuous months.

42 U.S.C. § 1396a; 42 C.F.R. § 435.117.

Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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