1. (1) A pregnant woman who is eligible and enrolled in Medicaid as defined in 42 CFR 435.116, and who meets the income limit defined in 42 CFR 435.110 for three of the prior six months, is eligible to receive 12-month Transitional Medicaid.
2. (2) Children who live with the parent are eligible to receive Transitional Medicaid.

The Department shall provide 12 months of extended medical assistance as set forth in 42 U.S.C. 1396r-6, when the parent or caretaker relative is eligible and enrolled in Medicaid as defined in 42 CFR 435.110, and loses eligibility as described in Subsection 1931(c)(2) of the Social Security Act.

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