The Patient Protection and Affordable Care Act of 2010 established presumptive eligibility (PE) criteria to include parents and caretaker relatives of children ages 0 through 18. In addition to the eligibility requirements in section 1900.020.00, parents and caretaker relatives must meet the following requirements:
- MO HealthNet for Families (MHF) relationship criteria;
- Have income at or below the MHF guidelines.
- There must be a child in the home under the age of 19 over which the parent/caretaker relative has assumed primary care and responsibility;
If a non-custodial parent is claiming a child as a dependent on their federal taxes, the non- custodial parent may be considered for MHF-PE.
Example 1: John is claiming his son, Rodney, as a dependent on his federal taxes. Rodney lives with his mother and only visits his father on a part-time basis. John could receive MHF-PE if he meets all other eligibility requirements.
Example 2: Mary is a non-custodial parent to Albert and does not claim him on federal taxes. Albert lives with his father and only visits his mother on a part-time basis. Mary is not eligible to receive MHF-PE.
- There can be no more than one period of PE eligibility within 12-months starting with the effective date of the initial PE period.