7 AAC 100.124 - Pregnant woman considerations
(a) Notwithstanding
7 AAC 100.300 -
7 AAC 100.304, the department will determine Family
Medicaid eligibility for a pregnant woman who does not have other children
living in the household who are eligible for Family Medicaid, if the pregnant
woman is in the last 91 days of pregnancy, including the estimated day of
delivery. The department will determine eligibility as if the child has been
born, considering the income and resources of all individuals living together
who will be included in the Family Medicaid household when the child is
born.
(b) If a pregnant woman
described in (a) of this section is unmarried and living with a man who claims
to be the biological father of the unborn child, the department will require,
as a condition of Family Medicaid eligibility, the man to acknowledge paternity
by signing a form provided by the department.
(c) If a pregnant woman described in (a) of
this section is married at the time of conception, the department will consider
the spouse at the time of conception to be the unborn child's biological father
unless
(1) paternity has been determined
otherwise by a court, administrative agency, or quasi-judicial entity
authorized by law to determine parentage; or
(2) affidavits that meet the requirements of
AS
18.50.160(d)(2) and (g) are
submitted to the department.
(d) The man who claims to be the biological
father of the unborn child of a woman described in (a) of this section and who
lives in the household is not eligible for Family Medicaid until the baby is
born and the household is otherwise eligible for Family Medicaid.
(e) To be eligible for Family Medicaid under
this section, the pregnancy and the estimated date of delivery must be verified
by
(1) a physician;
(2) a public health nurse employed by the
department;
(3) a physician
assistant;
(4) an advanced nurse
practitioner, with nurse-midwife certification; or
(5) a primary community health aide, if one
of the medical professionals listed in (1) - (4) of this subsection is not
available in the applicant's home community on the day pregnancy is verified;
in this paragraph, "primary community health aide" has the meaning given in
AS
18.28.100.
(f) If the expected date of delivery for a
pregnant woman described in (a) of this section changes during the course of
the pregnancy, the pregnant woman may continue to be eligible for Family
Medicaid if 91 or fewer days remain in the pregnancy.
Notes
The paternity acknowledgement form described in 7 AAC 100.124(b) is available at any Division of Public Assistance office of the Department of Health and Social Services.
Authority:AS 47.05.010
AS 47.07.020
AS 47.07.040
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