La. Admin. Code tit. 50, § III-2308 - Former Foster Care Children Group
A.
Pursuant to the Patient Protection and Affordable Care Act of 2010
(collectively referred to as the Affordable Care Act), the Department of Health
implemented a Medicaid eligibility group, effective December 31, 2013, to
provide health care coverage to youth who are transitioning out of foster care
to self-sufficiency upon reaching age 18 or at a higher age selected by the
department. This eligibility group is called former foster care children
group.
B. Eligibility Requirements
1. For youth who turned age 18 prior to
January 1, 2023, the youth must meet all of the following requirements to
receive Medicaid health care coverage under this eligibility group:
a. be from age 18 to 26 years old;
b. is not eligible or enrolled in another
mandatory eligibility group described in sections 1902(a)(10)(A)(i)(I)-(VII) of
the Social Security Act;
c. was in
foster care under Louisiana's custody and receiving Medicaid upon turning age
18 or upon aging out of foster care at a higher age elected by the state in its
title IV- E plan (up to age 21); and
d. resides in Louisiana.
2. For youth who turned age 18 on or after
January 1, 2023, the youth must meet all of the following requirements to
receive Medicaid health care coverage under this eligibility group:
a. be from age 18 to 26 years old;
b. is not enrolled in another mandatory
eligibility group described in sections 1902(a)(10)(A)(i)(I)-(VII) of the
Social Security Act;
c. was in
foster care under the responsibility of any state and receiving Medicaid upon
turning age 18 or such higher age (up to 21) as the state has elected in its
title IV-E plan; and
d. resides in
Louisiana. 3. Repealed.
C. Income, resources and insurance status are
not considered when determining eligibility.
D. Individuals determined eligible in this
group shall receive coverage of medically necessary health care services
provided under the Medicaid state plan.
1.
The assistance unit shall consist of the youth only.
E. Eligibility for the program will continue
until the youth reaches age 26 unless the youth:
1. moves out of state;
2. requests closure of the case; or
3. dies.
4. Repealed.
Notes
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