New Mexico Administrative Code
Title 8 - SOCIAL SERVICES
Chapter 295 - MEDICAID ELIGIBILITY - CHILDREN UNDER 19
Part 400 - RECIPIENT REQUIREMENTS
Section 8.295.400.11 - CHILDRENS HEALTH INSURANCE PROGRAM (CHIP)
Universal Citation: 8 NM Admin Code 8.295.400.11
Current through Register Vol. 35, No. 18, September 24, 2024
A. A budget group that includes the applicant and has countable income between the following federal income poverty limits (FPL) is considered to be eligible for the CHIP:
(1) if the applicant in the assistance unit
is under the age of six and the assistance unit and budget group's countable
income is between 240 and 300 percent of FPL for the countable household size;
or
(2) if the assistance unit
consists of the applicant age six or over and the assistance unit's and budget
group's countable income is between 190 and 240 percent of FPL for the
countable household size.
B. In order to be eligible for CHIP, the applicant in the assistance unit cannot have other qualified health plan (QHP) coverage. Individuals who have voluntarily dropped a QHP will be eligible for inclusion in the assistance unit in the month the individual no longer has a QHP.
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