Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 221 - Family Planning and Family Planning Related Services
Chapter 2 - 1115(a) Family Planning and Family Planning Related Waiver Services
Rule 23-221-2.2 - Eligibility

Universal Citation: MS Code of Rules 23-221-2.2

Current through September 24, 2024

A. The Family Planning Waiver (FPW) limits eligibility to individuals age thirteen (13) through forty-four (44) who are capable of reproducing and meet the following criteria:

1. Individual has a family income at or below one hundred eighty-five percent (185%) of the federal poverty level, converted to a Modified Adjusted Gross Income (MAGI) equivalent.

2. Female individual is not pregnant and has not had a medical procedure that would prevent pregnancy including, but not limited to, tubal ligation procedures, including tubal sterilization by hysteroscopy,

3. Male individual has not had a medical procedure that would prevent reproduction, including, but not limited to, a vasectomy,

4. Individual is uninsured and is not enrolled in Medicare, Medicaid, Children's Health Insurance Program (CHIP) or possesses other health insurance coverage that provides family planning and family planning related services,

5. Individual is a U.S. citizen or documented immigrant, and

6. Individual is a Mississippi resident.

B. Individuals eligible for the FPW remain eligible for twelve (12) consecutive months, or for the duration of the program if less than one (1) year and must recertify at the end of each year of eligibility.

C. The participant will lose eligibility when one (1) of the following occurs:

1. Moves from the state of Mississippi,

2. Becomes eligible for another Medicaid program, Medicare, or obtains health insurance with family planning and family planning related benefits,

3. Requests closure or termination of FPW services,

4. Has a procedure that prevents reproduction,

5. Becomes pregnant,

6. Turns forty-five (45) years of age, or

7. Is deceased.

D. FPW applicants are considered only for eligibility in the FPW; however, an application for full Medicaid benefits may be filed at any time.

42 U.S.C. §§ 1315, 1396; Miss. Code Ann. §§ 43-13-115, 43-13-117, 43-13-121.

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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