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Child
Medicaid
Child
Medicaid is a medical assistance program for children who
do not qualify for Newborn
or Newborn Plus
Medicaid, but who are still under the age of 18 or expect
to graduate from high school before age 19. Adult caretakers
do not have to be related to the children to apply on their
behalf. The income standard, after allowable deductions,
is based on a percentage of the financial assistance grant
level, as determined by the Utah State Legislature. The
Federal Poverty Level is available on the Internet at http://aspe.hhs.gov/poverty
Income
Eligibility Standards in Monthly Amounts (as
of April 2005)
Household Size *Monthly Income
Household Size *Monthly Income
1 . . . . . . . . . . .
$ 382
6 . . . . . . . . $
857
2 . . . . . . . . . . . .
$ 468
7 . . . . . . . . $
897
3 . . . . . . . . . . . .
$ 583
8 . . . . . . . . $
938
4 . . . . . . . . . . . .
$ 682
9 . . . . . . . . $
982
5 . . . . . . . . . . . .
$ 777
10 . . . . . . . . $ 1,023
*Deductions
Deduct
$90.00 from the countable earned income of each working
family member, child care expenses. Under limited
circumstances, a deduction of $30.00 plus 1/3 of working
income may be allowed when the client has received this
same deduction under a type of Family cash assistance in
one of the last four months. Income too high? See
NOTE at bottom of page.
*SpendDown
Medicaid
applicants whose income exceeds the monthly income standard
may be considered for the Medically Needy program, sometimes
referred to as the Spenddown Program. This program
allows a person who is otherwise eligible either to pay
"excess" monthly income to the state or to accept
responsibility for a portion of their monthly medical bills.
Asset
Limits
1
person - $2,000.00
2 persons - $3,000.00
For each additional person, add $25.00. Too many assets?
See NOTE at bottom of page.
Retroactive
Coverage
Most
Medicaid programs allow an applicant to request coverage
for medical services for up to three months prior to the
month in which the person filed a Medicaid application.
A person who received medical, dental or mental health services
and subsequently qualifies for Medicaid may return to each
provider with a Medicaid Identification Card for the month
in which service was provided. A provider who has already
rendered services may subsequently choose to accept Medicaid
as payment in full or refuse to seek Medicaid payment
because the patient had not been determined eligible for
Medicaid at the time of service. If the provider accepts
Medicaid, Medicaid may pay for the service. If the
provider refuses Medicaid, the patient is responsible for
the charges.
NOTE:
The CHIP (Child
Health Insurance Program) is a program for children
who don't have medical insurance. It has a higher
income limit than Medicaid. It also has no asset limit.
Call toll-free 1-888-222-2542.
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