16 Del. Admin. Code § 15000-15300

Current through Register Vol. 28, No. 7, January 1, 2025
Section 15000-15300 - Children Group

This section describes the eligibility requirements for the Children Group.

15300.1Children Group General Eligibility Requirements

A child must meet the general eligibility requirements described in Section 14000.

15300.2Technical Eligibility

A child must be under age 19.

15300.3Financial Eligibility

Financial eligibility is determined using the modified adjusted gross income (MAGI) methodologies described in Section 16000.

Household income for children under age 1 must not exceed 212% of the Federal Poverty Level (FPL).

Household income for children age 1 through age 5 must not exceed 142% of the Federal Poverty Level (FPL).

Household income for children age 6 through age 18 must not exceed 133% of the Federal Poverty Level (FPL).

15300.4Mandatory Continuation of Coverage for Children Receiving Inpatient Services

A child receiving inpatient services in a hospital or long-term care facility at the end of the month in which the child turns age 19 remains eligible until the end of the inpatient stay. The child must continue to meet the general and financial eligibility requirements described in Section 15300.1 and Section 15300.3.

16 Del. Admin. Code § 15000-15300

17 DE Reg. 845 (2/1/2014)
28 DE Reg. 45 (7/1/2024) (Final)