Family Health Plans

Family Assist : medical benefits for families whose income is at or below the TANF Cash Payment Level. Once the family's income rises above the Family Assist income limit, the family unit may be eligible for up to a year of extended medical coverage. The Family Assist income limit is in WAG 25-03-02(2). Because the income limit is the same as the TANF Cash Payment Level, the income limit does not change annually.

All Kids Assist: medical benefits for children under age 19 whose income is above the Family Assist income limit, but equal to or less than 318% of the FPL. Children are guaranteed financial eligibility for 12 continuous months of medical coverage, dating from the last eligibility determination. The All Kids Assist income limit is in WAG 25-03-02(2).

FamilyCare Assist: medical benefits for the parent or caretaker relative (and their spouse) of dependent children under age 18, with countable income greater than the Family Assist limit, but equal to or less than 138% of the FPL. The FamilyCare Assist income limit is in WAG 25-03-02(2) .

Moms & Babies: medical benefits for pregnant women and infants under 12 months of age who are born to eligible women whose income is above the Family Assist limit, but equal to or less than 213% of the FPL. This program covers both inpatient and outpatient health care for women while they are pregnant and for the postpartum period regardless of changes in income. The Moms & Babies income limit is in WAG 25-03-02(2) .

Family Health Spenddown: medical benefits for children with income above the All Kids Assist limit and pregnant women with income above the Moms & Babies limit. A benefit unit must incur medical expenses that equal or exceed the monthly spenddown amount before medical coverage is provided for a month. The spenddown amount is the difference between a benefit unit's countable income and the Family Health Spenddown standard. The income limit for Family Health Spenddown is in PM 15-06-01-e . The income limit does not change annually.

Medicaid Presumptive Eligibility (MPE): offers immediate, temporary coverage for outpatient health care for pregnant women. If eligible, MPE covers the customer for pregnancy care starting on the date of application until the Moms & Babies application is approved. MPE eligibility is determined by an MPE provider. The income limit for MPE is in WAG 25-03-02(2) .