In addition to eligibility requirements applicable to the MAGI
Pregnant Woman program in other rules in chapter 410 division 200, this rule
describes specific eligibility requirements for the MAGI Pregnant Woman
program.
(1) To be eligible for the
MAGI Pregnant Woman program, an individual must be pregnant, or be within the
two calendar months following the month in which their pregnancy
ended.
(2) To be eligible for the
MAGI Pregnant Woman program, an individual must:
(a) Have household income that is at or below
185 percent of the federal poverty level (OAR
410-200-0315); or
(b) Be eligible for protected eligibility
according to the policy described in OAR
410-200-0135.
(3) To be eligible for the MAGI
Pregnant Woman program, an individual must not be receiving Supplemental
Security Income (SSI).
(4) Once a
beneficiary is eligible and receiving Medicaid through the MAGI Pregnant Woman
program, they are continuously eligible through the two months following the
month in which the pregnancy ends (OAR
410-200-0135) unless one or more
of the following occur:
(a) The individual
dies;
(b) The individual moves out
of state;
(c) The individual
becomes incarcerated; or
(d) An
adult in the EDG requests the medical benefits are closed.
Notes
Or. Admin. Code
§
410-200-0425
DMAP 54-2013(Temp), f.
& cert. ef. 10-1-13 thru 3-30-14; DMAP 4-2014(Temp), f. & cert. ef.
1-15-14 thru 3-30-14; DMAP 20-2014, f. & cert. ef. 3-28-14; DMAP
67-2014(Temp), f. 11-14-14, cert. ef. 11-15-14 thru 5-13-15;
DMAP
3-2015, f. & cert. ef.
1/30/2015; DMAP 78-2015(Temp), f. & cert.
ef. 12-22-15 thru 6-18-16;
DMAP
24-2016, f. & cert. ef.
6/2/2016;
DMAP
23-2020, amend filed 05/07/2020, effective
5/8/2020
Statutory/Other Authority: ORS
411.402,
411.404 &
413.042
Statutes/Other Implemented: ORS
411.400,
411.402,
411.404,
411.406,
411.439,
411.443,
413.032,
414.025,
414.231, 414.447 &
414.706
