A. MassHealth State Plan Base Populations (continued)* Medicaid Comments Federal Poverty Funding Stream Expenditure and MassHealth Mandatory and Level (FPL) Eligibility Group Optional State and/or Other (EG) Reporting Program Plan Qualifying Groups Criteria (Categorical Eligibility) Member eligible for emergency services only “Non-qualified Aliens” or under the state Plan and “Protected the demonstration. Aliens” Base Families Members who meet the Otherwise eligible for Base definition and are Medicaid under the State Title XIX Disabled Limited determined to have a Plan 1902(r)(2) Children disability are included in 1902(r)( 2) Disabled the Base Disabled EG New Adult Group (New Adult Group Members who are coverage began determined eligible via January 1, 2014) 1902(r)(2) criteria are included in the 1902(r)(2) EG Disabled adults ages 114.1 through 133% Title XIX 1902(r)(2) Disabled Standard 19 through 64
A. MassHealth State Plan Base Populations (continued)* Medicaid Mandatory and Optional State Plan Groups (Categorical Eligibility) Federal Poverty Level (FPL) and/or Other Qualifying Criteria Funding Stream Expenditure and Eligibility Group (EG) Reporting MassHealth Program Comments “Non-qualified Aliens” or “Protected Aliens” Otherwise eligible for Medicaid under the State Plan Title XIX Base Families Base Disabled 1902(r)(2) Children 1902(r)( 2) Disabled New Adult Group (New Adult Group coverage began January 1, 2014) Limited Member eligible for emergency services only under the state Plan and the demonstration. Members who meet the definition and are determined to have a disability are included in the Base Disabled EG Members who are determined eligible via 1902(r)(2) criteria are included in the 1902(r)(2) EG Disabled adults ages 19 through 64 114.1 through 133% Title XIX 1902(r)(2) Disabled Standard