18 MAC Pt. 303, R. 1.7
Medicaid Eligibility – the primary source of funding for medical expenses of
Cite as 18 Miss. Admin. Code Pt. 303, R. 1.7
Medicaid Eligibility – the primary source of funding for medical expenses of
children in the custody of MDCPS is Medicaid and local/state funds. Foster children
are Medicaid eligible when the child:
1. Receives SSI. The Medicaid benefits are authorized by the Social Security
Administration.
2. Is eligible for and receiving Medicaid in the home of a parent or unlicensed
relative. The eligibility determination and authorization are handled by the
Division of Medicaid office in the county of residence.
3. Meets the following eligibility requirements:
a. Custody – The child must be in the sole custody of MDCPS.
b. Resources – The child’s own resources cannot exceed $10,000.
c. Income – If the child’s monthly unearned income is less than the
185% AFDC need rate for one child, the child’s monthly unearned
income will be tested against the State Foster Care Need Standard.
If the child’s unearned income is below this rate, the child is eligible
for CWS Medicaid. If the child’s monthly unearned income is
greater than the 185% AFDC need rate for one child, the child will
be ineligible for Title IV-E Medicaid.
Interstate Compact Placement for Children
Title IV-E foster children receiving Title IV-E adoption assistance and ICPC
children who are Title IV-E eligible in the state of origin are eligible for Medicaid
in the state in which they reside provided: a) the Agency has written verification that
the child is Title IV-E eligible in the state of responsibility and b) the child is in a
licensed resource home/facility in Mississippi.
Third Party Liability
The Agency will make direct inquiry to the parent(s) or guardian regarding whether
the child has any type of private insurance coverage and will report all third-party
liabilities.