Anyone know how Medicaid and babies work?

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Mom2009's picture
Joined: 04/29/13
Posts: 474
Anyone know how Medicaid and babies work?

So, if you've been following the chat thread you know DH lost his job, we lost insurance, and I was applying for Pg medicaid.

Well, today I found out I was approved! Yay! Relief! I know I'm qualified for 6 mo.

Here's the question: When baby is born, she will probably automatically have to have NICU care just like DS did. How does Medicaid typically work with that? Is she under my medicaid stuff until we are released from the hospital, do we have to immediately apply for her own medicaid, and also, how would my hubby having a job by then, at which point we would no longer "qualify" for medicaid according to income, affect the baby's ability to get medicaid even when we won't yet have insurance that we can put her on?

I realize no one can give "official" answers, but even the medicaid people can't answer these questions because there aren't answers they already have that they can read to me. Bleh.

So, anyone have experience with this??

BokkieNYC's picture
Joined: 08/15/11
Posts: 1106

Wish I could help. Hope you fond some answers soon.

Joined: 04/03/13
Posts: 483

If you still have medicaid the baby will auto qualify and will have to call to report the birth or have the social worker from the hospital call to inform them of the birth. If you do not qualify for medicaid you will have to go through the process of apply after the birth and nothing would be covered until you got the decision. I have had it with all of my pregnancies and my kids are covered 100%.. I normally call the 800 number to report that they were born and their name, gender and everything either the day they are born or the next day and they cover 100% of everything for the baby and me. Hopefully you wont have to worry about not qualifying then.

Maddz's picture
Joined: 08/17/07
Posts: 1759

For me here:

I am on medicaid. I am covered until 6 weeks after the birth I believe. Baby is automatically covered for a year (I think). I too have to report the birth within 72 hours or funds are not guaranteed. If my baby were to need to go to NICU- this would be covered as well.

So you got the presumptive eligibility? (PE) or have they informed you are definitely qaulified? Here you get PE and then you have to wait for information in the mail to get your card. You first get put on State Medicaid which almost no one around takes and then you can immediately switch over to Rocky Mountain Medicaid which most drs take or whatever.

KUP. Good luck Smile

girlisrad's picture
Joined: 04/24/07
Posts: 1587

"Maddz" wrote:

For me here:

I am on medicaid. I am covered until 6 weeks after the birth I believe. Baby is automatically covered for a year (I think). I too have to report the birth within 72 hours or funds are not guaranteed. If my baby were to need to go to NICU- this would be covered as well.

So you got the presumptive eligibility? (PE) or have they informed you are definitely qaulified? Here you get PE and then you have to wait for information in the mail to get your card. You first get put on State Medicaid which almost no one around takes and then you can immediately switch over to Rocky Mountain Medicaid which most drs take or whatever.

KUP. Good luck Smile

^^^^^ What Maddz said!^^^^^^^

It will differ from state to state, but if you get approved for pregnancy care then the baby will be covered automatically... no matter what though, be sure to call your caseworker, or whatever 1800 number you are given to be sure!

Joined: 02/17/13
Posts: 72

I don't know anything about Medicaid, but sounds like you got some good answers. Hope it all works out without too much headache for you!

Mom2009's picture
Joined: 04/29/13
Posts: 474

I am definitely qualified, I just haven't received the stuff in the mail yet. I checked through the phone system. Sooo...we shall see! I'm just nervous about it all bc this is totally new territory here. Thankful this is an option though!

Mom2009's picture
Joined: 04/29/13
Posts: 474

Ok, I finally got someone on the phone at Medicaid that would just give me a straight answer and not just read answers I can get on my own off the web. Biggrin

Yes, baby girl will automatically be covered, I don't have to go through re-qualification for her with all of the financial paperwork and rigmarole that I had to for qualification in the first place. I just have to make sure I call as soon as she is born to put her on it. Whew! That will cover all the NICU stuff! Major relief!

Just thought I would update you guys in case anyone else was wondering. Biggrin

BokkieNYC's picture
Joined: 08/15/11
Posts: 1106

Great news! That must be a load off your mind.