Family and Children's Medicaid MA-3415 CLASSIFICATION AND EVALUATION

REVISED 06/01/07 – CHANGE NO. 09-07

i. iNTRODUCTION

There are 6 aid program categories and 6 classification codes for cases receiving Medicaid under a Family and Children aid/program category. Cases classified as “C,” “N,” “D,” or “W” have eligibility determined based on the categorically needy income limit or one of the poverty income limits. Cases classified as “M” have eligibility determined based on the medically needy income limits. This limit is lower than the categorically needy or poverty income limits. Cases classified as “MIC-1” have eligibility based on income limits above 133% or 185%, depending upon the age of the child, up to 200% federal poverty level.

Classification in EIS is critical to accurately report eligible groups to the federal Medicaid agency and in obtaining federal financial participation (ffp).







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