223 CHILDREN'S MEDICAID AND EXPANDED CHILDREN'S MEDICAID SR 14-28 Dated 08/14

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Children's Medicaid (CM) and Expanded Children's Medicaid are both Medicaid eligibility categories that use Modified Adjusted Gross Income (MAGI) in the eligibility determination process. For eligible children, provide CM and Expanded CM through the day of the month before the day the child turns 19 years of age.

To be eligible for CM or Expanded CM, a child must be a:

. U.S. citizen or eligible qualified alien;

. New Hampshire resident; and

. meet the income requirements at PART 601, Table G, Medically Needy Medical Assistance Net Income Limits and Percentages of Poverty Guidelines.

There is no requirement that a child live with a parent or specified relative.

The child must also meet the listed requirements to be eligible:

Assistance Group	Age Limit	MAGI Income Limit	Resource Limit
CM	Age 0-*19	Countable net income < 196% of the federal poverty level (FPL). See PART 601, Table G, Medically Needy Medical Assistance Net Income Limits and Percentages of Poverty Guidelines.	None
Expanded CM	Age 0-19	Countable net income > 196% of the FPL, but no higher than 318% of the FPL. See PART 601, Table G, Medically Needy Medical Assistance Net Income Limits and Percentages of Poverty Guidelines.	None
CM-CH	Under age *19	Protected Income Level (PIL). See 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.

Exception: Children under age *19 who are pregnant should have their eligibility for medical assistance initially determined according to the requirements for Pregnant Women MA, as there are special benefits associated with this coverage group.

References: He-W 841.01 - .03, He-W 641.07, RSA 167:68,I, 42 CFR 435.117 - 42 CFR 435.118, Section 1902(l) of the SSA [42 U.S.C. 1396a], Section 2101 of the SSA [42 U.S.C. 1397aa]