Family MO HealthNet (MAGI) Manual

1840.010.00 Eligibility Requirements

IM-94 June 30, 2022; IM-145 November 27, 2017

To be eligible for CHIP, children in the CHIP group must meet all eligibility requirements in section 1805.000.00 must be met in addition to the following:

  • Need
  • Children must be uninsured
  • Cannot have access to insurance through a family member’s employment with a public agency

NOTE: Children who do not qualify for CHIP 4M because they are insured, qualify for MO HealthNet for Kids Non-CHIP.

Premium Groups

Children in the premium groups must:

NOTE: For a pregnant child (individual under age 19), determine ineligibility for the non-CHIP group (MHK), 4M, and the MO HealthNet for Pregnant Women (MPW) program prior to approval for Show Me Healthy Babies (SMHB) coverage. Refer to 1855.020.70 Ineligible for any other MO HealthNet Programs for more information on pregnant children who meet CHIP 73, 74 or 75 income standards.