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Pregnant
Women, Utah Medicaid Program
The
Pregnant Women's Program is a medical assistance program for pregnant
women whose monthly income is more than the income limit for the
Prenatal program. Women may pay
a spenddown and receive Medicaid coverage.
The woman does not have to complete Duty of Support and name the
father of the unborn child. The child may qualify for Medicaid
for 60 days after birth and for the first year under the Postnatal
program. The income standard, after allowable deductions,
is based on a percentage of the financial assistance grant level,
as determined by the Utah State Legislature.
Women who may not qualify should read the NOTE
at bottom of page.
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, health and accident premiums. The $30 plus
1/3 of working income disregard 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
Spenddown below and also the NOTE at bottom
of page.
*SpendDown
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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 Assets too high?
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.
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NOTE:
Other
programs for Children and Pregnant Women
Baby
Your Baby : Eligible pregnant women can receive prenatal
care prior to establishing eligibility for Medicaid. For more
information, call the Baby Your Baby Hotline 1-800-826-9662
or l-800-662-9651.
CHIP (Child Health
Insurance Program): Medical program for children who don't
have medical insurance. CHIP's Income limit is higher than
Medicaid's and CHIP does not have an asset limit. Call toll-free
1-888-222-2542.
Custody
Medical Care Program: Medical program for a child in the
custody of the State, similar to Foster Care.
Maternal
and Child Health Programs, such as Immunzation, BabyWatch,
Pregnancy Riskline, Women,
Infants and Children (WIC) Program
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