Implementation Guide: Medicaid State Plan Eligibility Eligibility Groups – Mandatory Coverage Pregnant Women
Guidance for the reviewable unit (RU) that describes the consolidated Medicaid eligibility group for pregnant women, as described at 42 CFR 435.116. It provides the criteria under which individuals may be covered under this group, the income standard used, and the basis for the income standard used. In addition, this RU describes the benefits provided to pregnant women; specifically, whether the state provides full Medicaid coverage to all pregnant women in this eligibility group or limits coverage for those with income above a certain standard to services covered under the state plan which are related to pregnancy.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 01, 2019
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