If you are pregnant with HIV, Medicaid may cover prenatal care and any
treatment you need to reduce the transmission of HIV to your baby.
Medicaid is a health insurance program for certain individuals that is
funded and administered through a State-Federal partnership.
Medicaid eligibility has been expanded for pregnant women in all States to
provide prenatal care (including HIV treatment, if necessary) and the
healthiest possible pregnancy. To find out if you meet the expanded
eligibility requirements, contact your local or county medical assistance,
welfare, or social services office. The number should be listed in the
blue pages of your telephone directory. If you are unable to find that
number, contact your State
Medicaid Office
It is now easier for pregnant women to get Medicaid coverage. The following
tables show income guidelines for pregnant women who may be eligible for
Medicaid. To find out if you qualify for Medicaid, locate your state in
the right hand column of Table 1, then match it with the federal poverty
level required by your state (ex: 133% of the FPL). Once you have
identified the Federal Poverty Level percentage your state uses for
Medicaid eligibility, consult Table 2 for the maximum monthly income
amount.
Poverty Level Percentage Required for Pregnant Women to
Qualify for Medicaid
(A pregnant woman can
have a family income for two (herself and child) up to this % of federal
poverty level (FPL)and still qualify for Medicaid. See Table 2 for FPL
monthly figures).
Example (A single pregnant
woman can have a monthly income up to this amount to qualify for
Medicaid)
States
100% of the FPL
$884.17
-
133% of the FPL
$1,175.94
Alabama, Alaska
($1,470.76), Arkansas, Colorado, Idaho, Illinois, Louisiana, Montana,
Nevada, North Dakota, Ohio, Oregon, South Dakota, Utah, Virginia,
Wyoming
140% of the FPL
$1,237.83
Arizona
150% of the FPL
$1,326.25
Indiana, Kansas,
Nebraska, Oklahoma, West Virginia
185% of the FPL
$1,635.71
Connecticut, Delaware,
District of Columbia, Florida, Georgia, Iowa, Kentucky, Maine, Maryland,
Massachusetts, Michigan, Mississippi, Missouri, New Hampshire, New Jersey,
New Mexico, New York, North Carolina, Pennsylvania, South Carolina,
Tennessee, Texas, Washington, Wisconsin
200% of the FPL
$1,768.33
California
225% of the FPL
$1,1989.51
Vermont
250% of the FPL
$2,210.42
Rhode Island
275% of the FPL
$2,431.46
Minnesota
300% of the FPL
$2,652.51
Hawaii
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Table 2: 1997 Monthly Federal Poverty Level Guidelines (For All States
and D.C., Except Alaska and Hawaii)
For family units of more than 8 members, add $283.33 for each additional
member.
* denotes mandatory Medicaid coverage of children 7 to 13 years old
** denotes mandatory Medicaid coverage of pregnant women and of the newborn
for 1 full year as long as the child continues to reside with the mother.
*** denotes Mandatory Medicaid coverage of children under 6 years old
**** denotes optional Medicaid coverage of pregnant women and the newborn
child for one full year as long as the child continues to reside with the
mother.
**** Through a 1115 Waiver, a state can increase Medicaid eligibility to
200% of the FPL or more. Check with your state Medicaid office.
In some States, the income level for Medicaid eligibility during pregnancy
is even higher. To find out if you meet the requirements for expanded
eligibility, please contact your local or county medical assistance,
welfare, or social services office. The number should be listed in the
blue pages of your telephone directory. If you are unable to find that
number, contact your State
Medicaid Office.