All Medicaid Programs |
Obsolete Policy |
Effective Date: April 1, 2019 - June 30, 2019
No Previous Policy
The Adult Expansion program is for adults with or without dependent children. The individual must meet certain financial and non-financial requirements, and be at least 19 and not yet 65 years of age.
Individuals are not eligible for the Adult Expansion program if they qualify for other programs without a premium or spenddown. Some of the programs are:
Parent and Caretaker Relatvie,
Pregnant Woman,
Targeted Adult Medicaid (TAM).
Individuals may receive Adult Expansion until they become eligible for TAM.
If individuals are eligible for the Adult Expansion program, do not put them on:
Medically Needy programs; or
Refugee Medical Assistance.
Individuals who are entitled to or receiving Medicare are not eligible for the Adult Expansion program. Eligibility under Adult Expansion program will end when a recipient becomes entitled to Medicare.
General Eligibility Requirements
To be eligible for Adult Expansion an individual must:
Be a US citizen or qualified alien (205).
Meet Utah residency requirements (207).
Meet the other non-financial requirements found in section 215 through 234.
Adult Expansion allows for:
Retroactive coverage, as long as the retroactive period falls within an open enrollment period. Coverage cannot begin before April 1, 2019.
Emergency Medicaid.
Hospital Presumptive Eligibility.
The Department of Health may limit the number of eligible individuals covered under Adult Expansion. The eligibility agency only accepts applications during certain open enrollment periods.
Financial Requirements
Adult Expansion follows the MAGI methodology for both income and household size (234 & 450).
Income must be at or below the income limit for the program.
There is no asset test.