Newborn Plus Medicaid

Newborn Plus Medicaid is a medical assistance program for children from age six to eighteen. Children born after September 30, 1983, may receive Newborn Plus Medicaid until age nineteen. The income limit after allowable deductions, is 100% of the Federal Poverty Level, which is typically adjusted annually. The current 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     . . . . . . . . . . .    $   798                     4     . . . . . . . . . . . .  $ 1613
2     . . . . . . . . . . . .  $ 1070                     5     . . . . . . . . . . . .  $  1885
3    . . . . . . . . . . . .   $ 1341                     6     . . . . . . . . . . . .  $  2136

  For each additional person, add $271 a month. 

*Deductions

Deduct $90.00 from the countable earned income of each working family member, child care expenses. Deduction of $30.00 plus 1/3 of working income  may be allowed only if a client has received this 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

NOT allowed for this program.   When household income exceeds the monthly income limit, the Medicaid eligiblity worker will consider eligibility for the Child Medicaid program.

Asset Limits

1 person   - $2,000.00 ;  two persons - $3,000.00.  For each additional person, add $25.00 to asset limit.  Too many assets?  See NOTE at bottom of page.

Retroactive Coverage

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 to accept 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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