Resource - Household Summary for Family Related Medicaid Programs

Program

Who Can Receive it:

Who is Included in HH Size:

Parent Caretaker Relative (PCR) 345

·   Parents and their spouses who have a dependent, deprived child living in the household.

·   Pregnant women and their spouse during the 3^rd trimester of pregnancy, if they have no other children.

·   The PCR program follows the MAGI rules.

·   MAGI household: 234

·   Tax filers: 234-1

·   Non-tax filers 234-2

·   Deprivation: 345-2

·   Caretaker relatives and their spouse who take primary responsibility of a dependent, deprived child.

·   Same as above

·   Unmarried fathers of the unborn child in the 3^rd trimester, living in the home, who has acknowledged paternity.

·   Same as above

Pregnant Woman

349

·   Pregnant women at any point during the pregnancy.

·   Pregnant Woman program follows the MAGI rules:

·   MAGI household: 234

·   Tax filers: 234-1

·   Non-tax filers 234-2

Child 0-1

347

·   Children under 1 year old, born to Utah Medicaid eligible women.

·   Follows the mother’s Medicaid household.

Children 0-5

347

·   Children from the age of 0 through the month the child turns 6, who are not eligible for Child 0-1 program.

·   Children 0-5 program follows the MAGI rules:

·   MAGI household: 234

·   Tax filers: 234-1

·   Non-tax filers 234-2

Children 6-18

347

·   Children from the age of 6 through the month the child turns 19.

·   Pregnant Women who meet the age requirements for this program.

·   Children 6-18 program follows the MAGI rules:

·   MAGI household: 234

·   Tax filers: 234-1

·   Non-tax filers 234-2

12 Month Transitional

343

·   Families who have received the PCR program and became ineligible due to the parents’ earned income.

·   The 12 Month Transitional program follows the relationship rules found in 476-1.

4 Month Extended

343

·   Families who have received the PCR program and became ineligible due to spousal support payments.

·   The 4 Month Extended program follows the relationship rules found in 476-1.

Pregnant Woman Medically Needy

349

·   Pregnant Women, who do not qualify for a MAGI-based program.

·   The pregnant woman medically needy program follows the relationship rules:

·   Families: 476-1

·   Pregnant Woman MN Income 476-3

·   Minor parent: 465-2

Child Medically Needy

347

·   Children under 18 years old, or

·   18 years old, who are still in high school and expect to graduate before turning 19, who are eligible for the MAGI-based Child program.

·   The child medically needy program follows the relationship rules:

·   Families: 476-1

Family Medically Needy

345

·   Parents and their dependent, deprived children, who do not qualify for a MAGI-based program.

·   Certain unmarried expectant fathers.

·   The family medically needy programs follow the relationship rules:

·   Families: 476-1

·   Deprivation: 345-2