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ABOUT MEDICAID

WHAT IS MEDICAID?

Medicaid is a program that pays medical bills and prescriptions for eligible families who cannot afford the cost of health care. Federal, state and county taxes pay the program costs.

WHO IS ELIGIBLE?

In the Family Medicaid program, it may be a child/children and may or may not include the adult caretaker.

In short some of the basic guidelines:
    • Be under 19 (income eligible)
    • Be under 21 and not living with a parent or considered emancipated (income & reserve eligible)
    • Be pregnant (income eligible)
    • Have minor children in the home for caretaker relative to receive. (income & reserve eligible).
WHAT ARE THE BASIC ELIGIBILITY CRITERIA FOR CHILDERN?

For a child 18 and younger, eligibility is based solely on the income of the financially responsible adult the child lives with. There are different income levels based on the age of the child as shown below in the income limit chart. There is no resource evaluation in this program. (Resources include money in the bank, vehicles, cash on hand, etc.) If the child does not meet the income guidelines in this program, then an evaluation can be made in another program with lower income limits, resource limits, and a deductible.


PROGRAM

INCOME LIMIT (FAMILY OF TWO)

GROUP COVERED

BENEFITS OF PROGRAM

RESERVE (for two)

DEDUCTIBLE?

Medicaid-Infants and Children (Under 1 year old) 185% of poverty (MIC)

$2,247

Children Under 1 YR. All needed medical care. No limit on prescriptions

NA

NO

Medicaid-Infants and Children (Ages 1-5) 133% of poverty (MIC)

$1,615

Children ages 1-5 All needed medical care. No limit on prescriptions

NA

NO

Medicaid-Infants and Children (Ages 6-18) 100% of poverty (MIC)

$1,215

Children ages 6-18 All needed medical care. No limit on prescriptions

NA

NO



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