5125-2        DEPRIVATION BY UNDER-EMPLOYMENT

5125-2 A.   DEFINITION OF UNDER-EMPLOYMENT

A child living in a two-parent home is deprived of parental support and care because of under-employment when the household income does not exceed the Family Medicaid need standard for the household size.

5125-2 B.   PREGNANT WOMEN IN THIRD TRIMESTER

A pregnant woman with no other Family Medicaid eligible children who is in her last 90 days of pregnancy may qualify for Family Medicaid based upon deprivation by under-employment if the ALL of following criteria are met:

1. The father of the unborn child is living in the home.

Note:  

If she is legally married, the pregnant woman’s spouse is presumed under state law to be the father of the child, unless a court determines otherwise.

2. If not married to the pregnant woman, the father of the unborn child must acknowledge paternity by signing a Bureau of Vital Statistics Affidavit of Paternity (BVS Bureau of Vital Statistics Form 16).
    

3. All other Family Medicaid financial and non-financial eligibility criteria are met.

During the third trimester, only the pregnant woman may receive Medicaid coverage.  While the needs of the unborn child and the child’s father are included in the eligibility determination, neither is eligible for Medicaid coverage until the baby is born.  Once the child is born, the child and the father may be added to the Family Medicaid case.  Until the father is actually a Medicaid recipient, the father is not required to pursue development of income.