Section 16.03.01.400 - MEDICAID FOR ADULTSMedicaid is available for the following adults:
01.Parent, Caretaker Relative, or a Pregnant Woman. The individual who:a. Is a parent, caretaker relative, or a pregnant woman in the household budget unit.b. Is responsible for an eligible dependent child, which includes the unborn child of a pregnant woman.c. Lives in the same household with the eligible dependent child.02.Adults Under Age 65. The individual must:a. Be age nineteen (19) or older and under age sixty-five (65);b. Not entitled to or enrolled in Medicare Part A or Part B; andc. Not otherwise eligible for any other coverage under the State Plan.03.MAGI Income Eligibility. For any of the eligibility groups under Subsections 400.01 and 02, the individual must meet all income requirements of the Medicaid program for eligibility determined under MAGI methodologies identified in Sections 300 through 303, and 411 of these rules. Eligibility is based on: a. The number of members included in the household budget unit;b. All countable income for the household budget unit; andc. Eligible individuals will have income calculated using their MAGI. Individuals with MAGI not greater than one hundred thirty-three per cent (133%) after applying a five per cent (5%) disregard to income are eligible to receive Medicaid in this rule.04.Member of More Than One Budget Unit. No person may receive benefits in more than one (1) budget unit during the same month.05.More Than One Medicaid Budget Unit in Home. If there is more than one (1) Medicaid budget unit in a home, each budget unit is considered a separate unit.Idaho Admin. Code r. 16.03.01.400