Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0037 - Medicaid › Chapter 18 - MEDICAID ELIGIBLITY › Section 18-6 - Family and Children's Eligibility

Current through July 13, 2024
(a) The following individuals are eligible
				for Medicaid:
(i) Children born to a Medicaid
				eligible woman are deemed to have applied for medical assistance and to have
				been found eligible on the date of birth and to remain eligible for a period of
				thirteen (13) months.
(ii) Children
				birth through age five (5), whose countable family income does not exceed one
				hundred fifty-four percent (154%) of the Federal Poverty Level (FPL).
(iii) Children age six (6) through age
				eighteen (18), whose countable family income does not exceed one hundred
				thirty-three percent (133%) of the FPL.
(iv) Foster care children are eligible for
				Medicaid under Title IV-E of the Social Security Act.
(v) Foster care children who are not eligible
				under Title IV-E of the Social Security Act and are in the custody of the
				Department of Family Services (DFS).
(vi) Adopted children who live in Wyoming and
				are under a Wyoming Subsidized Adoption Agreement remain eligible for Medicaid
				until age twenty-one (21).
(vii)
				Children who were in DFS custody at the time of their eighteenth (18th)
				birthday and are released from custody at that time or later are eligible for
				Medicaid until age twenty-six (26).
(viii) A woman who is pregnant and whose
				family income does not exceed one hundred fifty-four percent (154%) of the FPL
				is eligible for Medicaid during the pregnancy and through a sixty (60) day
				period beginning on the last day of the pregnancy.
(ix) A woman who is pregnant and whose family
				income does not exceed the income eligibility levels specified in the Medicaid
				State Plan under Title XIX of the Social Security Act shall be eligible for
				Medicaid during the pregnancy and through a sixty (60) day period beginning on
				the last day of the pregnancy. Qualified Pregnant Women shall cooperate in
				establishing paternity, and obtaining medical support during the sixty (60) day
				postpartum period.
(x) A woman who
				is at least age nineteen (19) but under the age of forty-five (45) whose family
				income does not exceed one hundred fifty-nine percent (159%) and is
				transitioning from the Pregnant Women Program shall be eligible for Medicaid
				coverage for certain family planning services.
(xi) Caretaker relatives of a dependent
				child, as specified in
				42 C.F.R.
				435.110, whose family income does not exceed
				the income eligibility levels specified in the Medicaid State Plan shall be
				eligible for Medicaid. Adults must cooperate in establishing paternity and
				obtaining medical support.
(xii)
				Caretaker relatives of a dependent child under the age of eighteen (18) whose
				family income exceeds the Family Care income eligibility levels due to the
				receipt of spousal support, and who have received Family Care benefits for
				three (3) of the last six (6) months shall be eligible for an extension of
				Medicaid benefits for four (4) months.
(xiii) Caretaker relatives of a dependent
				child under the age of eighteen (18) whose family income exceeds the Family
				Care income eligibility levels due to an increase in earning of the caretaker,
				and who have received Family Care benefits for three (3) of the last six (6)
				months shall be eligible for an extension of Medicaid benefits for four (12)
				months.
(xiv) Medicaid benefits
				shall be available to individuals who are infected with tuberculosis.