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Newborn
Plus Medicaid
Newborn
Plus Medicaid is a medical assistance program for children
from age six to eighteen. Children born after September
30, 1983, may receive Newborn Plus Medicaid until age nineteen.
The income limit after allowable deductions, is 100% of
the Federal Poverty Level, which is typically adjusted annually.
The
current Federal Poverty Level is available on the Internet
at
http://aspe.hhs.gov/poverty
Income
Eligibility Standards in Monthly Amounts
(as of April 2005)
Household Size *Monthly Income
Household Size *Monthly Income
1 . . . . . . . . . . .
$ 798 4
. . . . . . . . . . . . $ 1613
2 . . . . . . . . . . . .
$ 1070 5
. . . . . . . . . . . . $ 1885
3 . . . . . . . . . . . .
$ 1341
6 . . . . . . . . . . . .
$ 2136
For each additional person, add $271 a month.
*Deductions
Deduct
$90.00 from the countable earned income of each working
family member, child care expenses. Deduction of $30.00
plus 1/3 of working income may be allowed only if
a client has received this deduction under a type of Family
cash assistance in one of the last four months. Income
too high? See NOTE at bottom of page.
SpendDown
NOT
allowed for this program. When household income
exceeds the monthly income limit, the Medicaid eligiblity
worker will consider eligibility for the Child
Medicaid program.
Asset
Limits
1
person - $2,000.00 ; two persons - $3,000.00.
For each additional person, add $25.00 to asset limit.
Too many assets? See NOTE at bottom of page.
Retroactive
Coverage
Medicaid
programs allow an applicant to request coverage for medical
services for up to three months prior to the month in which
the person filed a Medicaid application. A person
who received medical, dental or mental health services and
subsequently qualifies for Medicaid may return to each provider
with a Medicaid Identification Card for the month in which
service was provided. A provider who has already rendered
services may subsequently choose to accept Medicaid as payment
in full or refuse to seek Medicaid payment because
the patient had not been determined eligible for Medicaid
at the time of service. If the provider accepts Medicaid,
Medicaid may pay for the service. If the provider
refuses to accept Medicaid, the patient is responsible for
the charges.
NOTE:
The CHIP (Child
Health Insurance Program) is a program for children
who don't have medical insurance. It has a higher
income limit than Medicaid. It also has no asset limit.
Call toll-free 1-888-222-2542.
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