Table A. MassHealth State Plan Base Populations (See STC 91 for terminology) Funding Stream Comments Medicaid Federal Poverty Expenditure and MassHealth Mandatory and Level (FPL) and/or Eligibility Group Optional State Other Qualifying (EG) Reporting Program Plan Groups Criteria (Categorical Eligibility) AFDC-Poverty < Age 1: 0 through XIX Base Families Standard Level infants 185% Title XIX if < Age 1: 185.1 Medicaid insured at the 1902(r)(2) Standard through time of Expansion infants 200% application Children Title XXI if uninsured at the time of 1902(r)(2) XXI application Funded RO through title XIX if title XXI is exhausted
Table A. MassHealth State Plan Base Populations (See STC 91 for terminology) 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 AFDC-Poverty Level infants < Age 1: 0 through 185% XIX Base Families Standard Medicaid Expansion infants < Age 1: 185.1 through 200% Title XIX if insured at the time of application Title XXI if uninsured at the time of application Funded through title XIX if title XXI is exhausted 1902(r)(2) Children 1902(r)(2) XXI RO Standard
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