1. (1) The definitions in Rules R414-1 and R414-301 apply to this rule. In addition, the Department adopts and incorporates by reference the following definitions as found in 42 CFR 435.4, October 1, 2012 ed.:

   1. (a) "Caretaker relative;"
   2. (b) "Family size;"
   3. (c) "Modified Adjusted Gross Income (MAGI);"
   4. (d) "Pregnant woman."
2. (2) A dependent child who is deprived of support is defined in Section R414-302-5.

3. (3) The definition of caretaker relative includes individuals of prior generations as designated by the prefix great, or great-great, etc., and children of first cousins.

   1. (a) To qualify for coverage as a non-parent caretaker relative, the non-parent caretaker relative must assume primary responsibility for the dependent child and the child must live with the non-parent caretaker relative or be temporarily absent.
   2. (b) The spouse of the caretaker relative may also qualify for Medicaid coverage.

KEY: MAGI-based, coverage groups, former foster care youth, presumptive eligibility

Date of Last Change: June 19, 2025

Notice of Continuation: January 6, 2023

Authorizing, and Implemented or Interpreted Law: 26B-1-213; 26B-3-108