zz – Obsolete

0930.010.25 Eligibility Dates – OBSOLETE

IM-60 June 12, 2006,  IM-1 February 13, 2004

An infant meeting the newborn criteria is eligible back to the date of birth regardless of when the Newborn application is made. The IMU5 system will accept a “G” level of care back to the date of birth as long as the child is not age one or older in the month of approval.