Customer Contact Center Food Stamp/Family Medicaid Phase II ...

Call Center FS/FM SUCCESS PG October 24, 2007
Introduction to Training
Medical Assistance Program
(This is not an all-inclusive list)
Family Medicaid Classes of Assistance
Low Income Medicaid (LIM) covers adults and children who meet the financial
eligibility based on income and resource limits. In addition, LIM is available for
families who choose to receive only Medicaid rather than cash assistance
(TANF), or choose to receive their child support rather than TANF, or do not wish
to comply with the Personal Responsibilities or the Work Requirements of the
TANF Family Service Plan.
Right from the Start Medicaid (RSM) covers children and pregnant women who are
not eligible for LIM. Eligibility covers pregnant women who have income less
than or equal to 200% of Federal Poverty Level (FPL), children under age 1 who
have income less than or equal to 185% of the Federal Poverty Level (FPL) and
children from age 1 through 6th year birth month who have income less than or
equal to 133% of FPL. It also covers children age 6 through age 18 who have
income less than or equal to 100% of the Federal Poverty Level. This program
was created to help reduce infant mortality in the U.S. and to give young children
the "right start" in life. It allows many families the safety net of medical coverage
for children while they continue to financially support themselves.
Newborn Medicaid (NB) provides Medicaid coverage to a child born to a mother who
was eligible for and receiving Medicaid under any class of assistance in Georgia
on the day the child was born. A child is eligible for NB Medicaid for up to 13
months beginning with the month of birth and continuing through the month in
which the child reaches age 1, as long as the child lives with the mother
continuously.
Transitional Medical Assistance (TMA) provides Medicaid for up to 12 months to
families for whom LIM is terminated because of increased or new earnings from
employment. TMA uses 185% of the Federal Poverty Level as the income limit
for eligibility. This program is to help transition families into full independence.
PG-18