016.20.21 Ark. Code R. 001

Current through Register Vol. 49, No. 9, September, 2024
Rule 016.20.21-001 - Medical Services Policy B-220 Newborns

MEDICAL SERVICES POLICY MANUAL, SECTION B

B-200 Families and Individuals Group (MAGI)

B-220 Newborns

B provides a more limited range of services with limited co-pays for some services. (See Appendix G) ARKids B was authorized by Arkansas Act 407 of 1997 (the ARKids First Program Act) and was implemented as a Section 1115 Medicaid expansion program effective September 1, 1997. The program is currently funded by the Children's Health Insurance Program (CHIP) under Title XXI of the Social Security Act.

Because ARKids A and ARKids B have different benefit packages and have different federal funding match rates, it is necessary to designate separate categories of coverage for them.

Please see PUB-040, Arkansas Medicaid, ARKids First & You for a summary of the benefit packages which highlights the differences in the two packages.

B-220 Newborns

MS Manual 11/01/21

This group consists of newborns up to age one (1) whose mothers were Medicaid eligible at the time of their births. Newborns in this group are guaranteed Medicaid coverage for the first year of life regardless of income changes that may occur during that first year. Newborns receive the full range of Medicaid services.

Although this group is considered part of the ARKids First group, Newborns also have a separate category of coverage to ensure no change in household circumstances affects their one-year of guaranteed coverage. At age one (1), eligibility for ARKids First (A or B) is determined as for any other child (See MS I-230).

Newborns born to pregnant women approved under the Unborn child category (See MS B-250) are also eligible for the Newborn category.

B-230 Parents/Caretaker Relatives

MS Manual 08/15/14

This group consists of adults who have related minor children living in the home for whom the adult exercises care and responsibility (MS F-110) and whose household income is below the income limit for this group (See MS E-110).

Both natural or adoptive parents may be living in the home with the child. There is no "deprivation of parental care or support" requirement for the parents to be included in this group.

016.20.21 Ark. Code R. 001

Adopted by Arkansas Register Volume MMXXI Number 10, Effective 11/1/2021