Addendum-3 Family Medicaid Subtypes

ADDENDUM 3

MAGI MEDICAID SUBTYPES

Medicaid Subtype	Description
4M	Post-Medicaid due to excess spousal support (Note: Child Support income is not countable for MAGI Modified Adjusted Gross Income Medicaid.)
AF	Family Medicaid (Section 1931 AFDC related)
AL	Emergency coverage for illegal alien
BA Baby Medicaid	Newborn Baby -- through month of 1st birthday (child born to a woman who was eligible for Medicaid in the month of delivery)
CP	CHIP Children's Health Insurance Program (151% to 175% FPL). Title 21 funding
EO	Eligible for FM Family Medicaid if not Institutionalized
FC	Title IV-E Foster Care child in State custody
FF	Former Foster Care
H1	>133%-150%, all ages, with Insurance. Title 19 funding
H2	CHIP Children's Health Insurance Program (>133% to 150%, all ages), no insurance. Title 21 funding
HC	Healthy Child (133% or less, age 0 - 5) Title 19 funding
IP	Under 21 child in State custody & In-Patient Psychiatric
IV	Title IV-E Subsidized Adoption
JC	Juvenile Court Ordered Child in State custody
PB	Postpartum Coverage for women whose income is less than <133% FPL
PC	Postpartum coverage for women whose income is >133% - <=175% FPL regardless of insurance. Title 19 funding.
PD	Pregnancy Determination (FM Family Medicaid 3rd trimester)
PR	Pregnant Woman Coverage whose income is less than <133% FPL
PX	Pregnant Woman >133% - <=175% FPL. Title 19 funding
S1	>100%-133% ages 6-18 with Insurance. Title 19 funding
S2	CHIP Children's Health Insurance Program (>100% to 133%, ages 6-18). Title 21 funding
SO	State-only (not IV-E) subsidized adoption (State custody)
SU	Six Up. Title 19 funding
T1	Transitional Medicaid
TO	Under 21
VO	Child in voluntary state custody

Expansion Medicaid Subtype	Description
MX	Newly Eligible - Expansion
XP	Non-Newly Eligible - Expansion
AL	Emergency Alien - Expansion

Incarceration Medicaid Subtype	Description
BI	Breast and Cervical Cancer
CI	DKC CHIP Children's Health Insurance Program/Title 21 funding (Subtypes S2, H2, and CP)
EI	Emergency Alien
FI	Former Foster Care (in ARIES only)
KI	Pregnant Woman
NI	DKC non-CHIP/Title 19 funding (subtypes BA, HC, H1, SU)
TI	Under 21
MI	Newly Eligible - Expansion
XI	Non-Newly Eligible

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		MC #68 (04/16)