Title 16
16000 Federal Poverty Level Related Programs
16290 Mandatory Continuation of Coverage for Children
Children may remain categorically eligible for the poverty level program until the last day of the month in which they turn 19 years old unless family income exceeds the applicable limit. If the child is an inpatient in a hospital or long-term care facility receiving covered services at the time and he or she would lose categorical eligibility because of age (turning one, 6 or 19), eligibility under the poverty level program continues until the child is discharged. Individuals turning age 19 will be reviewed for eligibility under the Diamond State Health Plan as non-categorical uninsured adults or for other potential Medicaid eligibility.
