048.0037.18.6
Ch. 18, § 6. Family and Children's Eligibility
Cite as Medicaid Rules, Ch. 18, § 6
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(a) The following are Medicaid-eligible categories:
(i) Children born to a Medicaid eligible woman are deemed to have applied for medical assistance and to have been found eligible on the date of birth and to remain eligible for a period of thirteen (13) months.
(ii) Children birth through age five (5), whose countable family income does not exceed one hundred fifty-four percent (154%) of the Federal Poverty Level (FPL).
(iii) Children age six (6) through age eighteen (18), whose countable family income does not exceed one hundred thirty-three percent (133%) of the FPL.
(iv) Foster care children who are eligible for Medicaid under Title IV-E of the Social Security Act.
(v) Foster care children who are not eligible under Title IV-E of the Social Security Act and are in the custody of the Wyoming Department of Family Services (DFS).
(vi) Adopted children who live in Wyoming and are under a Wyoming Subsidized Adoption Agreement remain eligible for Medicaid until age twenty-one (21).
(vii) Children who were in DFS or Tribal custody under a Federally Funded Foster Care Medicaid program at the time of their eighteenth (18th) birthday and are released from custody at that time or later are eligible for Medicaid until age twenty-six (26).
(viii) Children who were in any State's or Tribal custody under a Federally Funded Foster Care Medicaid program at the time of their eighteenth (18th) birthday and are released from custody at that time or later are eligible for Medicaid until age twenty-six (26), if the child turned eighteen (18) on or after January 1, 2023.
(ix) A woman who is pregnant and whose family income does not exceed one hundred fifty-four percent (154%) of the FPL is eligible for Medicaid during the pregnancy and through a twelve (12) month postpartum period beginning on the last day of the pregnancy.
(x) A woman who is pregnant and whose family income does not exceed the income eligibility levels specified in the Wyoming Medicaid State Plan under Title XIX of the Social Security Act shall be eligible for Medicaid during the pregnancy and through a twelve (12) month postpartum period beginning on the last day of the pregnancy.
(xi) A woman who is at least age nineteen (19) but under the age of forty-five (45) whose family income does not exceed one hundred fifty-nine percent (159%) and is transitioning from the Pregnant Women Program shall be eligible for Medicaid coverage for certain family planning services.
(xii) Caretaker relatives of a dependent child, as specified in 42 C.F.R. 435.110, whose family income does not exceed the income eligibility levels specified in the Medicaid State Plan shall be eligible for Medicaid. Adults must cooperate in establishing paternity and obtaining medical support.
(xiii) Caretaker relatives of a dependent child under the age of eighteen (18) whose family income exceeds the Family Care income eligibility levels due to the receipt of spousal support, and who have received Family Care benefits for three (3) of the last six (6) months shall be eligible for an extension of Medicaid benefits for four (4) months.
(xiv) Caretaker relatives of a dependent child under the age of eighteen (18) whose family income exceeds the Family Care income eligibility levels due to an increase in earning of the caretaker, and who have received Family Care benefits for three (3) of the last six (6) months shall be eligible for an extension of Medicaid benefits for twelve (12) months.
(xv) Medicaid benefits shall be available to individuals who are infected with tuberculosis.
(b) For all eligibility categories described in this Section which include an income requirement, income shall be calculated using the modified adjusted gross income of the household.
(c) A resource test does not apply to any of the groups described in this Section.