Newborns Deemed to be Eligible for Title XIX

PURPOSE: This rule establishes that newborns will be deemed to be eligible for Title XIX when they are born to a woman eligible for and receiving Title XIX on the date the child is born. (1) A child born to a woman eligible for and receiving Title XIX on the date her child is born is deemed to have filed an application and been found eligible for Title XIX on the date of the birth and to remain eligible for one (1) year; provided— (A) The child is living; and (B) The child remains a resident of Missouri. 1. When the child’s state of residence changes during the first year of life, MO HealthNet benefits shall be closed. 2. If the child’s state of residence changes back to Missouri during the first year of life, MO HealthNet benefits shall be reinstated until the child’s first birthday. An application and review of eligibility is not required. (2) The child is not required to remain in the household of the biological mother to be eligible. (3) The child’s birth must be reported to Family Support Division (FSD) prior to beginning MO HealthNet benefits. Report of the birth may be accepted from— (A) A legal adult member of the mother’s MO HealthNet household as defined in 13 CSR 40-7.010; (B) The mother’s authorized representative; (C) The hospital; (D) A representative from the hospital; or (E) The mother’s managed care plan. (4) Before beginning MO HealthNet benefits for newborns deemed eligible, FSD shall obtain all of the following: (A) The mother’s Departmental Client Number (DCN); (B) The child’s legal name, unless unavailable; (C) The child’s date of birth; and (D) The child’s gender. (5) Pursuant to section 208.151.1(17), RSMo, and 42 USC 1396b(x)(2)(D), identification and citizenship shall be verified when newborns are deemed eligible for Title XIX for the first year of life. (6) MO HealthNet benefits shall end for newborns deemed eligible for Title XIX when— (A) The child is no longer a resident of Missouri; (B) The child is deceased; (C) The child’s MO HealthNet benefits are voluntarily closed by an adult member of the child’s household or an authorized representative, guardian, or conservator; or (D) The child begins receiving healthcare under another state agency or division. AUTHORITY: sections 207.022 and 660.017, RSMo 2016.* Emergency rule filed Dec. 19, 1988, effective Jan. 1, 1989, expired May 1, 1989. Original rule filed Dec. 19, 1988, effective March 25, 1989. Emergency amendment filed March 6, 1991, effective March 16, 1991, expired July 13, 1991. Amended: Filed March 7, 1991, effective Aug. 30, 1991. Amended: Filed Sept. 20, 2018, effective May 30, 2019. *Original authority: 207.022, RSMo 2014 and 660.017, RSMo 1993, amended 1995.