Terms in Medicaid

Question 1

Ex-Parte Determination

Answer 1

Medicaid MUST be continued til process is complete. Assesses iof Medicaid individual is eligible for another type of Medicaid includes Auto xfer to FHK and Marketplace

Question 2

Parent/relative caretaker

Answer 2

19% FPL derive eligibility from kids at least 1 kid in HH under 18

Question 3

Pregnant women

Answer 3

can only be rcv’d under ONE coverage type- presumptive/protected NO asset limit or citizenship restrictions as its NOT an eligibility factor for THIS coverage group

Question 4

Protected pregnant women

Answer 4

(regular full coverage Medicaid) for at least 1 mo including retro month IS eligible to rcv medicaid through pregnancy PLUS 2 months postpartum REGARDLESS of any changes to the case

Question 5

Childrens coverage (MFAM)

Answer 5

UP to age 21 child eligible for ENTIRE month of their Bday UNLESS child was born on 1st of month at which point coverage ENDS the 1st day of the birth month

Question 6

Presumptive eligible newborn (PEN, MFAM)