Medicaid coverage under the Child Medical Assistance Program (CMAP) is available to persons under age 21 who meet all FMAP eligibility requirements except:
· Living with a specified caretaker relative.
· Resource limits.
A person eligible under this coverage group continues to be eligible during the month the person turns 21, unless the twenty-first birthday falls on the first day of the month. A person born on the first is ineligible for the month of the twenty-first birthday.
Unborn children are counted when determining household size if the pregnancy has been verified.
Resources of all household members are disregarded when determining eligibility of persons in this coverage group.
CMAP Income Guidelines
Income is considered according to FMAP policies except:
· Do not consider the income of any "man in the house" who is not married to a CMAP-eligible pregnant woman, except for any income he makes available to the woman. It does not matter if he is the legal or natural father of the unborn child.
· Allow the earned income deduction for persons who are not in the eligible group if:
· Their income is considered in establishing eligibility for CMAP, and
· Their needs would be included in the FMAP eligible group if there was FMAP eligibility.
Even though a 17-year-old living independently could not receive FMAP, CMAP eligibility is determined as though the person met the FMAP definition of a dependent child. When determining whether income is countable for students under the age of 18, follow FMAP policies regarding earnings of a child in school. (For details see Title 8 Medicaid Chapter E, Child's Earnings and Student Earnings.)
Allow a pregnant woman under 21 to choose to receive Medicaid under either CMAP or the Mothers and Children (MAC) program. If the household contains a pregnant woman who is eligible under MAC and at least one child eligible under CMAP:
· Overview of Medical Assistance in Iowa
· Welcome and Introduction to Benefits in Iowa
Title 8 Medicaid
· Chapter F, Coverage Groups, Child Medical Assistance Program
Legal reference: 42 CFR 435.222, 441 IAC 75.1(15) and 75.13(1)
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