Family Healthcare (FAMIS) Manual

0930.005.00 LEGAL BASIS (Newborns)

The Social Security Act S1902(e)(4) provides automatic Medicaid eligibility to newborns who are born to a woman who is ELIGIBLE for and RECEIVING Medicaid on the date the child is born. Coverage begins with the date of birth and extends through the date the child becomes one year of age. Eligibility continues during this period if the mother remains continuously eligible for Medicaid and the child continues to live with the mother.

Missouri Rule 13 CSR 40-2.260 provides that newborns of a woman eligible for and receiving Title XIX on the date the child is born are deemed to have filed an application and been found eligible for Title XIX.

The Omnibus Budget Reconciliation Act of 1990, Section 4603, provides that newborns born on or after January 1, 1991, are eligible for Title XIX, for one year, if they are a member of their mother’s household and she remains eligible (or if still pregnant would remain eligible) for medical assistance. Missouri Rule 13 CSR 40-2.260 has been amended to provide for this cover age.