Common use of Coverage for Pregnant Women Clause in Contracts

Coverage for Pregnant Women. Rather than requiring multiple eligibility determinations for qualified pregnant women and all other categorically needy pregnant women, MA eligibility for pregnant women is determined using an income standard of 275 percent of the FPL. Eligibility for all pregnant women enrolled in MA is determined with no asset test and continues until the end of the month in which 60 days post-partum occurs. Medical verification of pregnancy must be provided no later than 30 days after enrollment as a pregnant woman. Coverage for pregnant women consists of the full MA benefit set for a qualified pregnant woman in accordance with section 1902(a)(10)(A)(i)(III) of the Act.