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Ohio Administrative Code (Last Updated: January 12, 2021) |
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5160:1 Medicaid General Principles |
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Chapter5160:1-4. Medicaid for the MAGI Covered Groups |
5160:1-4-03. MAGI-based medicaid: coverage for Ribicoff and former foster care adults
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(A) This rule describes medicaid eligibility criteria for applications for medical assistance for individuals:
(1) Who are age nineteen or twenty, or
(2) Who aged out of foster care on their eighteenth birthday, are younger than age twenty-six, and are not eligible under rule 5160:1-4-02 of the Administrative Code.
(B) Eligibility criteria for coverage because an individual is age nineteen or twenty in accordance with 42 C.F.R. 435.222 (as in effect July 1, 2014).
(1) The individual must be age nineteen or twenty.
(2) The individual's family size and household income must be calculated as described in rule 5160:1-4-01 of the Administrative Code.
(3) The individual's household income must not exceed fourty-four per cent of the federal poverty level for the family size.
(C) Eligibility criteria for coverage because an individual aged out of foster care in accordance with section 1902(a)(10)(A)(i)(IX) of the Social Security Act (as in effect July 1, 2014).
(1) The individual must:
(a) Be at least eighteen years old and younger than twenty-six years old;
(b) Have been in foster care under the responsibility of the state on the individual's eighteenth birthday;
(c) Have been eligible for and enrolled in medicaid while in such foster care; and
(d) Cooperate in establishing eligibility, which includes signing and dating the application.
(2) Under this paragraph, there is no income test for coverage because an individual aged out of foster care.