5410 ELIGIBILITY DETERMINATION FOR UNDER 21 MEDICAID
5410 A. NON-FINANCIAL ELIGIBILITY
To be eligible for Under 21 Medicaid, individuals must be under the age of 21 and meet the Family Medicaid non-financial eligibility requirements of citizenship (including the CSSD statement), residency, and enumeration. The Family Medicaid requirements of deprivation, living with a caretaker relative and age do not apply.
To determine financial eligibility for Under 21 Medicaid, take into consideration the needs, income and resources of the child and members of the child's household who are his or her parents and/or siblings. If the income of a stepparent or sibling causes the household to exceed the income limit, the needs and income of the sibling and/or stepparent are removed, and eligibility is redetermined (see examples in section 5340 (B). Countable income is determined by following Family Medicaid rules, except for those rules excluded in section 5020.
Note:
The income and resources of adoptive parents are not considered when determining Under 21 Medicaid eligibility for a child under the age of 18 who is eligible to receive state-only adoption assistance. See Section 5460.
5410 C. EIS INFORMATION
For children qualifying for Medicaid according to the requirements of Sections 5420, 5430, 5440, or 5450, the following EIS information applies:
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EIS INFORMATION |
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MEDICAID SUBTYPE: |
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JC |
Juvenile court ordered into state custody |
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TO |
Under 21, (no other subtypes in this group apply) |
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VO |
Children in voluntary custody of the state |
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ELIGIBILITY CODE: |
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50 |
Child under 21, not in state custody (including all subsidized adoptions, both Title IV-E and state-only) |
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51 |
Child under 21, in state custody (including Title IV-E Foster Care) |
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11 |
Pregnant Woman (regardless of custody) |
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