Health and Recovery Services Administration, Department of Social and Health Services
 

Medical Eligibility Overview

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Family Medical Programs


TANF (TEMPORARY ASSISTANCE FOR NEEDY FAMILIES)  and FAMILY MEDICAL PROGRAM:  This program provides aid to children and adult(s) who care for them.  Families with dependent children under the age of 19, whose income and resources are below TANF limits may receive both TANF cash benefits and CN medical.  TANF cash benefits are restricted to 60 months maximum in a lifetime.  A family may choose to only receive CN medical benefits in order to save eligibility months.
INCOME LIMITS* - FAMILIES WITH DEPENDENT CHILDREN
NUMBER OF PERSONS CN  INCOME LIMIT

1

$359

2

$453

3

$562

4

$661

5

$762

6

$866

*These amounts are lower for households with no shelter costs: $218; $276; $341; $402; $464; and $526.

EXTENDED MEDICAID BENEFITS: Families are eligible for up to 12 months of extended CN medical benefits, earned income increases above program standards .  These benefits are sometimes called Transitional Medical Assistance (TMA).  A premium is charged to all non-pregnant adults, during the second six months of Transitional Medical if the family's countable income is over 100% FPL.  American Indian/Alaska Natives are exempt from the payment of premiums.  Families are eligible for up to 4 months of extended CN medical benefits when the family received medical benefits in three out of the last six months, but cash benefits have been terminated because of increased child support.

Special situations:  Clients who are not eligible for cash benefits, but are eligible for medical coverage include:

STATE FAMILY ASSISTANCE (SFA): SFA is the state-funded cash  program for legal immigrant families who do not meet the eligibility requirements for the federal programs due to citizenship or immigration status. Families on SFA are encouraged to apply for Basic Health (BH). 

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