and Postnatal Programs
Prenatal Program is a medical assistance program for pregnant
women. It may cover medical care for the entire pregnancy
and for 60 days after the birth. Women only need to meet
the income guidelines in one month to be eligible for the
remainder of the pregnancy plus the 60 day postnatal coverage
for both the mother and the baby. The income limit,
after allowable deductions, is 133% of the Federal Poverty
Level, which is typically adjusted annually.
The Federal Poverty Level is available on the Internet at
Women who do not qualify should see NOTE at bottom
Postnatal Program is a medical assistance program for children
from birth to 12 months. The child qualifies for Medicaid
coverage if he or she is born to a mother receiving any
type of Utah Medicaid assistance. The mother must submit
a birth certificate and name any possible insurance coverage
for this program to take affect.
Eligibility Limit in Monthly Amounts (Updated
Size *Monthly Income
Household Size *Monthly Income
1 . . . . . . . . . . .
5 . . . . . . . . $ 2,859
2 . . . . . . . . . . . .
6 . . . . . . . . $ 3,273
3 . . . . . . . . . . . .
7 . . . . . . . . $ 3,688
4 . . . . . . . . . . . .
8 . . . . . . . . $ 4,102
For each additional person, add $414.
$90.00 from the countable earned income of each working
family member, child care expenses. Under limited
circumstances, a deduction of $30.00 plus 1/3 of working
income may be allowed. Income too high? See
NOTE at bottom of page.
allowed. Women whose household income is more
than the monthly income limit will be considered for the
Program which allows a spenddown.
unless high risk. Applicants who have more than $5,000 in
assets can still receive coverage by paying a co-payment
amount. The co-payment is a small percentage of total countable
assets. Assets too high? See NOTE at bottom of page.
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 Medicaid, the patient is responsible for
Federally Qualified Health Centers are clinics that offer
low-cost medical care. It does not matter whether
the person qualifies for Medicaid or has health insurance.
The cost of care is based on income. There is a list
of health centers in the brochure "Exploring Medicaid".
The brochure comes in two versions depending on where a
person lives. One version of Exploring
Medicaid is for people living in the Wasatch Front
(Salt Lake, Utah, Davis, Weber, and Morgan Counties).
The other version of Exploring
Medicaid is for people who live in other areas of
the state. In either version, look for telephone numbers
for Federally Qualified Health Centers in the Resource section
of the brochure.