Extended Medicaid for Pregnant Women and Newborns 510-05-35-110

(Revised 3/1/12 ML #3312)

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(N.D.A.C. Section 75-02-02.1-05)

 

1. Pregnant women who applied for Medicaid during pregnancy, and are determined to be eligible as of the last day of pregnancy, continue eligible for Medicaid for 60 days, beginning on the last day of pregnancy, and for the remaining days of the month in which the 60th day falls.

 

A pregnant woman is considered to be eligible for Medicaid as of the last day of pregnancy when she is eligible with no recipient liability, or if there is a recipient liability, when the full recipient liability is incurred as of the last day of pregnancy.

 

This provision applies regardless of the reason the pregnancy was terminated, and without regard to changes in income or whether a redetermination of eligibility is due during the free eligibility period.

 

This provision is only available to women who are eligible for Medicaid under one of the pregnant women coverages in the family category, but is not available to women who are aliens covered by Medicaid for emergency services.

2. Children born to pregnant women who were determined to be eligible as of the last day of pregnancy, are eligible for Medicaid for one year, beginning on the date of birth, and for the remaining days of the month in which the twelfth month falls.

Children who are eligible for the extended eligibility period become continuously eligible for the 12 months.

3. If the Medicaid case closes for loss of residency during the extended period and the family returns to the state and reapplies while still in the extended period, eligibility may be reestablished for the remainder of the period.