The plan:

1. Must be consistent with coverage provided to children eligible for medical assistance in the state; and

2. Must provide: a. A modified adjusted gross income eligibility limit of two hundred five percent of the poverty line; and b. Current eligibility may be established from the first day of the month in which the application was received. Retroactive eligibility may be established for the three calendar months that immediately preceded the month in which the application

was received even if there is no eligibility in the month of application. Eligibility can be established if all factors of eligibility are met during each month.