A pregnant woman, who is not otherwise eligible for Medicaid, may apply to have her unborn child(s) eligibility reviewed under the 599 CHIP program. Eligibility for Medicaid must first be determined before 599 CHIP eligibility can be reviewed. Eligibility is determined for unborn children from conception through birth, if the pregnant woman and spouse’s income is at or below the Federal Poverty Level (FPL). See Appendix 477-000-012 for the applicable FPL.
599 CHIP has no requirement for citizenship or alien status due to the unborn(s) status being independent of the pregnant woman.
There is no eligibility for the unborn(s) if the pregnant woman has creditable health insurance. Health insurance that does not provide prenatal or maternity care is not considered creditable coverage. For a definition of creditable health insurance, see 477 NAC 1.
The pregnant woman will not be eligible for post-partum services under 599 CHIP. If post-partum care is needed for complications following labor and delivery, the woman may apply for Emergency Medical Services Assistance (EMSA).
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