Anyone know how Medicaid and babies work?
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Thread: Anyone know how Medicaid and babies work?

  1. #1
    Super Poster Mom2009's Avatar
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    Default 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??
    Jana & Aaron
    DS - Braxton (4)




  2. #2
    Prolific Poster BokkieNYC's Avatar
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    Wish I could help. Hope you fond some answers soon.
    ~Roxi~

    A family is a unit composed not only of children but of men, women, an occasional animal, and the common cold. -- Ogden Nash
    | 2/6/13 7 weeks |




  3. #3
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    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.
    ----Kati------

    Proud mom of Trinity (6), Taylor (4) and Sydney (3), Sophie born December 2, 2013.

    Lilypie First Birthday tickers

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    Mega Poster Maddz's Avatar
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    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
    **Maddie **
    DH Patrick
    DS1 Riley James 04.13.08
    DS2 Kamdyn Carter 01.07.13
    Expecting Daxton Dash 12.19.13





  5. #5
    Site Moderator girlisrad's Avatar
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    Quote Originally Posted by Maddz View Post
    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
    ^^^^^ 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!
    I'm back, baby.

  6. #6
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    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!
    Courtney

    pregnancy

  7. #7
    Super Poster Mom2009's Avatar
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    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!
    Maddz likes this.
    Jana & Aaron
    DS - Braxton (4)




  8. #8
    Super Poster Mom2009's Avatar
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    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.

    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.
    BokkieNYC likes this.
    Jana & Aaron
    DS - Braxton (4)




  9. #9
    Prolific Poster BokkieNYC's Avatar
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    Great news! That must be a load off your mind.
    Mom2009 likes this.
    ~Roxi~

    A family is a unit composed not only of children but of men, women, an occasional animal, and the common cold. -- Ogden Nash
    | 2/6/13 7 weeks |




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