225.03 Required Verification: Pregnant Women MA SR 14-04 Dated 01/14

The individual must provide verification of all medical assistance eligibility criteria except the deprivation and presence of a dependent child.*

• *Self-attestation of pregnancy and number of fetuses is accepted without additional proof required.

 *Proof of income is only required if there is a discrepancy during the electronic verification process.

• Assume the presence of one fetus unless *the individual claims that there is more than one.

References: He-W 641.06, RSA 167:68,I, 42 CFR 435.116, 42 USC 1396a (l)(1)(2)(A)(i)