Family MO HealthNet (MAGI) Manual

1840.010.00 ELIGIBILITY REQUIREMENTS

IM #145, November 27, 2017

All eligibility requirements in section 1805.000.00 must be met in addition to the following:

In addition to the above criteria, children in the premium groups must:

  • Have no access to affordable health insurance; and
  • Pay a premium.
  • NOTE: A pregnant child (individual under age 19) must be determined ineligible for the non-CHIP group (MHK), CHIP 71 and 72, 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.