Reference Hard Cards 510-03-105

IM 5443

Coverage Hierarchy Order 510-03-105-05

(Revised 4/1/2020 ML #3576)

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This Reference Hard Card explains the order in which eligibility is tested under ACA Health Care Coverage.

Coverage Hierarchy Order (Highest to Lowest) COEs DESCRIPTION

COEs

 

DESCRIPTION

1

M098 Non IV-E State or Tribal Foster Care Children
2 M067, M095 ACA Children
3 M066 ACA Pregnant Woman
4 M063 ACA Parent/Specified Caretaker Relative
5 M086 ACA Transitional Parent/Specified Caretaker Relative
6 M088 ACA Extended Parent/Specified Caretaker Relative
7 M087 ACA Transitional Children
8 M061 ACA Extended Children
9 M078 Optional Children's Group
10 M091 ACA Former Foster Care Child
11 M075, M069, M064 Women's Way
12 M062 ACA Adult 19 or 20
13 M058, M059, M077, M089, M060, M065 Adults Medically Frail
14 M076 ACA Adult Expansion
15 M081 Emergency Services