Family MO HealthNet (MAGI) Manual

1855.020.70 Ineligible for any other MO HealthNet Programs

IM-#110, December 31, 2015

An unborn child is ineligible for the Show-Me Healthy Babies Program if his/her mother is eligible for any other MO HealthNet program that provides full benefits and does not require a premium or a spend down in exchange for coverage.

NOTE: Explore eligibility for any MO HealthNet program that does not require a premium or spend down prior to exploring eligibility for SMHB.

EXCEPTION:¬†If the pregnant woman is receiving Uninsured Women’s Health Services (UWHS), Extended Women’s Health Services (EWHS), premium CHIP coverage, Gateway To Better Health (GTBH), or MO HealthNet for Aged, Blind, and Disabled (MHABD) Spend Down program she may still be eligible for SMHB. When this occurs, approve SMHB before closing the existing coverage.