Family MO HealthNet (MAGI)

1850.020.00 ELIGIBILITY REQUIREMENTS

IM-52, May 23, 2017

Women determined eligible for MO HealthNet for Pregnant Women benefits continue to be eligible despite changes in income which may cause household income to exceed the maximum. The continuous benefit ends the last day of the month in which the 60-day postpartum is completed.

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

  • Pregnant
  • Income Maximum/ Need 
  • NOTE: If a pregnant woman is rejected for MPW due to excess income or citizenship, eligibility for 1855.000.00 Show-Me Healthy Babies should be explored.
  • Citizenship or Qualified Immigrant Status
  •  NOTE: If a pregnant woman is provided with reasonable opportunity for verification of citizenship or qualified immigrant status and fails to provide the required proof within the reasonable opportunity period, her case must be closed for “failure to cooperate.”  An ex parte should not be completed and coverage for Show Me Healthy Babies should not be given automatically.  She must reapply for benefits. She cannot receive more than one reasonable opportunity period.

    NOTE: When the pregnant woman is not the HOH and the case closes due to HOH removal (death, move out, etc.), enter a new application with the pregnant woman as HOH and use information available. Do not request any verification.