General Information 510-05-45-05
(Revised 10/01/13 ML #3390)
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Eligibility for this group is based on section 1931 of the Social Security Act. Section 1931 intended to assure coverage for low-income families by requiring eligibility to follow certain policies that were in effect in the state AFDC plan as of July 16, 1996. It allows the use of less restrictive policies, however, does impose some limits. Section 1931 of the Act became effective July 1, 1997. The Affordable Care Act of 2009 changed the make-up of this group to Parents, Caretaker Relatives and their Spouses, moving children and pregnant women to their own groups effective for benefits starting January 1, 2014.
For Applications and Reviews Received From July 1, 1997 through December 31, 2013 requiring benefits prior to January 1, 2014:
All medically needy technical and financial eligibility policies apply to the Family Coverage group except as identified in section 05-45-10 through 05-45-35.
For Applications and Reviews Received on or After October 1, 2013 for benefits beginning January 1, 2014:
All policies related to the Modified Adjusted Gross Income (MAGI) methodologies apply to the Parents, Caretaker Relatives and their Spouses group.
