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Medical Needs
Family & Children’s Medicaid/Health Choice Application Automatic
Newborn Coverage The medical needs of infants are met through Medicaid under the Automatic Newborn Coverage Program. After delivery, a child is entitled to Medicaid coverage for expenses incurred in labor and delivery, and all covered medical expenses until the child is one year old. Eligibility of a child under this category is based solely on the mother's eligibility for Medicaid. No further eligibility determination is required. Carolina Access The Carolina Access Program is the Medicaid equivalent to a pre-paid or managed care health plan. It is designed to help ensure Medicaid recipients receive the best possible health care by improving patient access to physicians, enhancing Doctor/patient relationships and reducing any unnecessary or inappropriate use of medical services. Medicaid For Families With Dependent Children (MAF) The medical needs of certain low income families are met through the MAF program. Families may also be eligible for Medicaid under this category when both parents are in the home. Medicaid For Foster Children And Children In Adoptive Homes We are able to meet the medical needs of Children who are in foster care or adoptive homes, and receive funds through Title IV-E through the Medicaid Program. Verification of IV-E status is the only condition of eligibility. Medicaid For Infants And Children Through the Medicaid for Infants and Children (MIC) program, medical needs for infants and children within a certain age range, and who meet income criteria, are met through the Medicaid program. The income limits under MIC are higher than the MAF limits, and there are no reserve limits for this program. In addition, children who qualify for assistance under this program can receive Medicaid without meeting a deductible. Medicaid For Pregnant Women Through the Medicaid for Pregnant Women (MPW) program, we are able to provide Medicaid to help with the cost of prenatal and postpartum care, up to 60 days following termination of pregnancy, either due to delivery or miscarriage. The woman must meet certain income requirements, however, there are no reserve requirements or limits. Once determined eligible for assistance under this program, there are no requirements to re-determine eligibility throughout the pregnancy, regardless of changes in the woman's situation. Extended Medicaid Through the WFFA program, we may be able to provide assistance with medical expenses for a certain period of time, to parents who get jobs. This assistance may be available for awhile, even after the WFFA check stops. WFFA Medicaid Families eligible for WFFA are automatically eligible for Medicaid. Children born into a WFFA family after the family has received assistance for ten months or more are not eligible for cash assistance, but are automatically eligible for Medicaid as long as the family continues to qualify for assistance. |