There must be an MC+ eligible child in the home for the caretaker relatives to remain eligible. If the last eligible child leaves the home or turns age 19, the caretaker relatives are ineligible.
The caretaker relatives also become ineligible if the children are in the premium group and lose eligibility for one of the following reasons:
failure to pay the premium; oraccess to affordable health insurance.
In these situations ineligibility is due to there not being an MC+ eligible child in the home, not failure to pay the premium or access to affordable insurance.