1. (a) The following individuals shall be eligible for HVNH, as described in He-W 549.05(a):

   1. (1) A medicaid recipient who:

      1. a. Is a first time mother; and
      2. b. Is under age 21 at the time of enrollment;
   2. (2) An infant, up to one year of age, who is born to a recipient in (1) above; and

   3. (3) An infant, up to one year of age, who:

      1. a. Is no older than 2 weeks of age at the time of enrollment in the program; and
      2. b. Is born to a first time mother who is under the age of 21 at the time of the infant’s enrollment in the program.

2. (b) All Title XIX recipients who are under age 21 shall be eligible to receive child/family health care support services, as specified in He-W 549.05(b), if any one of the following 4 conditions are met:

   1. (1) At least 2 primary criteria outlined in (c) below;
   2. (2) At least 3 secondary criteria outlined in (d) below;
   3. (3) At least one primary and 2 secondary criteria outlined in (c) and (d) below; or
   4. (4) The recipient is eligible for Title V services through the special medical services section, in accordance with He-M 520.03 and He-M 520.04(b).

3. (c) For child/family health care support services, primary criteria for eligibility shall include:

   1. (1) The caregiver, child or a household member has:

      1. a. A diagnosed mental illness;
      2. b. Known substance abuse; or
      3. c. A disability or developmental delay, except that a child shall not be a recipient of family-centered early supports and services pursuant to He-M 510;
   2. (2) The caregiver has been referred by a protective services agency or has a finding of child neglect or abuse;
   3. (3) The caregiver or child has special health care needs;
   4. (4) The child’s family is homeless; or
   5. (5) One of the child’s parents or parent’s partner is absent for circumstances including, but not limited to, death, missing, incarceration, military deployment, or as a result of a protective/restraining order.

4. (d) For child/family health care support services, secondary criteria for eligibility shall include:

   1. (1) The child’s caregiver is under 21 years of age;
   2. (2) The caregiver is a first time parent;
   3. (3) The caregiver has limited English proficiency;
   4. (4) The caregiver is single without any identified social supports;
   5. (5) The caregiver has less than a high school education;
   6. (6) The child was premature or had a low birth weight and is not a recipient of family-centered early supports and services pursuant to He-M 510;

   7. (7) There is documentation of family trauma, including, but not limited to:

      1. a. An unexpected or untimely death in the family;
      2. b. Domestic violence in the family;
      3. c. Caregiver is an adult victim of child abuse or neglect; or
      4. d. The family has been the victim of a crime;
   8. (8) There is documentation of a disrupted or problematic parent-child relationship, such as, but not limited to, insecure attachment;
   9. (9) The family’s income is less than 125% of the most recent federal poverty level as published annually in the Federal Register by the Secretary of the U.S. Department of Health and Human Services; or
   10. (10) One or more grandparents is raising the child.

Source. #7775, eff 10-8-02; ss by #9768, eff 10-8-10; ss by #10092, eff 3-1-12; amd by #10398, eff 8-20-13