1. (1) The Department provides coverage to individuals as described in 42 CFR 435.115. This coverage group is known as the 4 Month Extended program.

   1. (a) 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 four-month extended coverage.

   2. (b) Changes in household composition do not affect eligibility for the four-month extension period. Newborn babies are considered household members even if they are not born the month the household became ineligible for Medicaid. New

      members added to the case will lose eligibility when the household loses eligibility. Assistance shall be terminated for household members who leave the household.

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