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10.09.37.00.htm 10.09.37.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 09 MEDICAL CARE PROGRAMS Chapter 37 Family Planning Program Eligibility Authority: Health-General Article, §2-104(b) 15-103(a) and 15-140, Annotated Code of Maryland
10.09.37.01.htm 10.09.37.01. 01 Purpose and Scope.. This chapter governs the determination of eligibility for the Family Planning Program..
10.09.37.02.htm 10.09.37.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) Applicant.. a) “Applicant” means an individual whose written, signed application for the Family Planning Program has been submitted to the Department but has not received final action.b) “Applicant” includes a non-pregnant individual whose application is submitted through an authorized representative.2) “Application” means the filing of a written and signed application form
10.09.37.03.htm 10.09.37.03. 03 Eligibility for Family Planning Program Coverage.. A. In order to be determined eligible for benefits under the Family Planning Program, an applicant:. 1) Shall:. a) Have a household income that does not exceed 250 percent of the federal poverty level; and. b) Meet the following requirements:. i) Citizenship requirements in COMAR 10.09.24.05;. ii) Identity requirements in COMAR 10.09.24.05-1A―F and H; and. iii) Residency requirements in COMAR 10.09.24.05-3.. a) Be pregnant;.
10.09.37.04.htm 10.09.37.04. 04 Application.. For individuals not described in .03B of this chapter, application for Family Planning Program services will be conducted pursuant to the provisions of COMAR 10.09.24.04.
10.09.37.05.htm 10.09.37.05. 05 Consideration of Income.. Determination of an applicant’s income for purposes of the Family Planning Program shall be determined under the household provisions of COMAR 10.09.24.06-1 and the income provisions applicable to MAGI household units of COMAR 10.09.24.07.
10.09.37.06.htm 10.09.37.08. 08 Determining Financial Eligibility.. An applicant is financially eligible for the Family Planning Program if the applicant's MAGI household income as determined under COMAR 10.09.24.06-1 and .07 does not exceed 250 percent of the federal poverty level.
10.09.37.07.htm 10.09.37.09. 09 Certification Periods.. A. For a participant, certification for initial eligibility begins not sooner than the first day of the month of application.B. A participant’s eligibility under Regulation .03 of this chapter will end as of the:. 1) End of a 12 month certification period;. 2) Date eligibility is determined in another Medicaid coverage group;. 3) Date the participant ceases to qualify under the requirements of Regulation .03A of this chapter;.
10.09.37.08.htm 10.09.37.10. 10 Covered Services.. A Family Planning Program recipient shall be entitled to services as stated in COMAR 10.09.58..
10.09.37.09.htm 10.09.37.11. 11 Post胞ligibility Requirements.. Post-eligibility requirements for the Family Planning Program are set forth at COMAR 10.09.24.12..
10.09.37.10.htm 10.09.37.12. 12 Hearings.. The procedures for the Program granting a hearing to an applicant or a recipient and the status of benefits pending a hearing are set forth in COMAR 10.01.04.
10.09.37.11.htm 10.09.37.13. 13 Fraud and Abuse.. The requirements relating to fraud and abuse under COMAR 10.09.24.14 and COMAR 10.09.24.14-1 shall apply to this chapter.
10.09.37.12.htm 10.09.37.14. 14 Adjustments and Recoveries.. The requirements relating to adjustments and recoveries under COMAR 10.09.24.15, excluding COMAR 10.09.24.15A(2)3) and COMAR 10.09.24.15A(3) shall apply to this chapter.
10.09.37.13.htm 10.09.37.15. 15 Interpretive Regulation.. State regulations shall be interpreted in conformity with applicable federal statutes and regulations.
10.09.37.9999.htm 10.09.37.9999. Administrative History Effective date:. Regulations .01―15 adopted as an emergency provision effective January 1, 2012 (39:2 Md. R. 139) adopted permanently effective June 11, 2012 (39:11 Md. R. 686) ―Chapter revised effective January 6, 2014 (40:26 Md. R. 2163). Regulation .02B amended effective December 31, 2018 (45:26 Md. R. 1243). Regulation .03 amended effective December 31, 2018 (45:26 Md. R. 1243). Regulation .04 amended effective December 31, 2018 (45:26 Md. R. 1243).
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