Mo. Code Regs. tit. 13 § 40-7.070

Current through Register Vol. 49, No. 23, December 2, 2024

Section 13 CSR 40-7.070 - MO HealthNet for Families

PURPOSE: The purpose of this rule is to establish the conditions under which MO HealthNet for Families eligibility will be available to participants.

(1) The Department of Social Services shall provide MO HealthNet benefits to individuals who are determined eligible for MO HealthNet for Families in accordance with this rule.

(2) Definitions.

(A) "Eligible child" means a child who-

1. May or may not be applying for or receiving MO HealthNet for Families benefits;

2. Meets all applicable eligibility criteria under section 208.151, RSMo; and

3. Is one (1) of the following:

A. A child under the age of eighteen (18) who resides with a custodial parent or other adult caretaker relative of the minor child; or

B. A child under the age of nineteen (19) and a full-time student in a secondary school (or at the equivalent level of vocational or technical training), if the child may reasonably be expected to complete the program of the secondary school (or vocational or technical training).

(B) "Parent or caretaker relative" is an individual who is a relative of a dependent child by blood, adoption, or marriage with whom the child is living, who assumes primary responsibility for the child's care, and who is one (1) of the following:

1. The child's father, mother, grandfather, grandmother, brother (including half), sister (including half), stepfather, stepmother, stepbrother, stepsister, uncle, aunt, first cousin, nephew, or niece; or

2. The spouse of such parent or relative, even after the marriage is terminated by death, separation, or divorce.

(3) To initially qualify for MO HealthNet for Families eligibility, participants must meet the following criteria:

(A) The Family Support Division shall not provide MO HealthNet for Families coverage to or on behalf of a household (as defined in the Internal Revenue Code26 CFR 1.36B-1), unless the household includes an eligible child; and

(B) Countable family income for the household size does not exceed the Modified Adjusted Gross Income (MAGI) equivalent standard based on the July 16, 1996 Aid to Families with Dependent Children (AFDC) (current Temporary Assistance) income limits.

13 CSR 40-7.070

Adopted by Missouri Register February 1, 2019/Volume 44, Number 3, effective 4/1/2019