Presumptive Eligibility (PE) Programs Manual – Table of Contents

1900.020.40 Parents And Caretaker Relatives (MHF-PE)

IM#51 May 18, 2017

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;

    OR

    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.