Modified Adjusted Gross Income (MAGI) Coverage for Pregnant Women

Modified Adjusted Gross Income (MAGI) Coverage for Pregnant Women A. A pregnant woman of any age is covered by Medicaid from the time she is determined eligible through the twelve (12) month postpartum period provided household income at the time of application, and during the retroactive period, if applicable, does not exceed one hundred eighty-five percent (185%) of the federal poverty level (FPL) converted to a Modified Adjusted Gross Income (MAGI)equivalent limit of one hundred ninety-four percent (194%) of the FPL. B. Any income changes subsequent to approval do not affect eligibility during the pregnancy related period. C. The twelve (12) month postpartum period begins with the date the pregnancy ends and concludes at the end of the twelfth (12th) month following the end of the pregnancy. D. An application to cover the birth of a child filed after the child is born must be timely filed to cover the birth, i.e., by the end of the third (3rd) month following the child’s birth month. E. Pregnant minors are eligible with a total disregard of income from any source effective with the implementation of the Affordable Care Act (ACA) on January 1, 2014. Prior to the ACA, parental income was disregarded for pregnant minors but not the minor’s own income. F. Pregnant minors eligible for the Children’s Health Insurance Program (CHIP) are transitioned to Medicaid for their pregnancy-related period, i.e., the duration of their pregnancy and the post-partum period. The transition to Medicaid occurs when the pregnancy becomes known to the agency.