Kansas Department of Health & Environment

Kansas Family Medical Assistance

Manual (KFMAM)


Eligibility Policy - 12/16/2019

02000 >>> 02350

previous section02340

                                                                                                  

02360next section

02350 Medical Needy Coverage Related to Children and Pregnant Women - Medical assistance is available for children and pregnant women who are not financially eligible for Family Medical coverage and do not meet the Medicaid poverty level criteria. (See 2271.) Eligibility shall always be determined first for the Medicaid poverty level programs prior to Medically Needy.

2350.01 Age - The person must be under the age of 19 if not pregnant. If pregnant, age is not a factor.

2350.02 Income and Resource Methodologies - The income methodologies of 5000 are to be used in determining eligibility for this group. There is no resource requirement. The protected income level is based on the number of IBU members (see 3000). Expenses for medical services paid or incurred by the eligible persons or IBU members are allowable in determining eligibility. (See 6500)

2350.03 Medically Needy Postpartum Medical Coverage - Eligibility as a pregnant woman ends 2 months following the month of birth of the child or termination of pregnancy provided that the woman was accurately receiving FFP medical the month of birth or pregnancy termination (including prior eligibility).

All general eligibility factors must be met during the extended coverage period. Financial eligibility would continue to be determined as though the woman was still pregnant. Thus, the needs of those persons who would be reflected in the determination while the woman was pregnant would be reflected in the extended period

Top of Page