219 PARENTS CARETAKER RELATIVE MEDICAL ASSISTANCE (MAM)

SR 15-03 Dated 01/15

Previous Policy

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Parent/Caretaker Relative medical assistance (MA) is a Medicaid eligibility category that uses Modified Adjusted Gross Income (MAGI) in the eligibility determination process. To be eligible for Parent/Caretaker Relative MA, an individual must meet all the requirements below:

• be a caretaker relative or parent of a dependent child, defined as a child under age 18, or under age 19 and a full-time student in secondary school (or equivalent vocational or technical training);

• meet the requirements in PART 300, NON-FINANCIAL CRITERIA;

• the dependent child must live with the parent or caretaker relative and must meet the FANF deprivation of care criteria; and

• the individual must meet the financial requirements listed below.

FANF Deprivation of Care Criteria

Deprivation is the loss of a parent’s ability to support or care for a child. The loss can be due to death, continued absence, unemployment of the primary wage earner, or physical or mental incapacity:

• for the deprivation of care criteria due to death, continued absence, or physical or mental incapacity, see the Family Assistance Manual PART 209, FANF DEPRIVATION; and

• for the deprivation of care criteria due to unemployment of the primary wage earner (PWE), see this manual, Section 219.09, Unemployed Parent (UP).

Parent/Caretaker Relative MA Financial Requirements

Assistance Group

Income Limit

Resource Limit

Categorically-Needy Parent/Caretaker Relative MA (uses MAGI in the financial eligibility determination process)

Net income less than or equal to the income limit in PART 601, Table I, Parent/Caretaker Relatives Income Limits.

None

Medically-Needy Parent/Caretaker Relative MA (does not use MAGI in the financial eligibility determination process)

Net income less than or equal to the PIL (Protected Income Level) in PART 601, Table G, Medically Needy Medical Assistance Net Income Limits and Percentages of Poverty Guidelines.

Medically-Needy resource limit. See Section 407.03, Medically Needy Medical Assistance.

 

References: He-W 602.04; He-W 830.01; RSA 167:83,I(b);  42 CFR 435.4; 42 CFR 435.110; 42 CFR 435.119(c); 42 CFR 435.218