HOW DOES A PREGNANT WOMAN WHO IS ON HUSKY GET MEDICAL COVERAGE FOR HER NEWBORN?
If a woman is on HUSKY during her pregnancy, her newborn should automatically be enrolled in HUSKY A through a process called Newborn Eligibility.
When a mother with HUSKY coverage delivers, the hospital completes a Newborn Notification Form. This form is faxed to the DSS central office, where:
Every hospital must have a designated staff person who is responsible for completing the Newborn Notification Form. This form must be completed by the hospital within 5 days of the child’s birth.
Once the newborn is approved for HUSKY A, he/she will be enrolled in HUSKY.
HOW DOES A PREGNANT WOMAN WHO IS NOT ON HUSKY GET MEDICAL COVERAGE FOR HER NEWBORN?
If a woman is not eligible for HUSKY, she can apply for HUSKY for her unborn child by:
NEWBORNS OF UNDOCUMENTED WOMEN ELIGIBLE FOR EMERGENCY MEDICAID:
Newborns are automatically eligible for HUSKY for one year regardless of income changes. After one year the child would qualify for HUSKY A or B depending on household size and income until they turn 19.
IS THERE RETROACTIVE COVERAGE FOR NEWBORNS?
If the newborn is determined eligible for HUSKY A, the coverage may be granted retroactive up to 90 days prior to the date of application. (Retroactive coverage is granted if the newborn was eligible for HUSKY A during the period retroactive coverage is being requested.)
If the newborn is determined eligible for HUSKY B, the coverage may be granted retroactively if the application is received within 30 days of the baby’s date of birth.
Former Governor Rell’s goal was to enroll uninsured newborns (regardless of house hold income) before they are discharged from the hospital so no child leaves the hospital uninsured. This Initiative applies to uninsured women who do not qualify for Medicaid or do not have private insurance. Newborns will be eligible for one year of HUSKY coverage. As part of the initiative HUSKY B will waive premiums for four months.
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PREPARED BY: 211/mm
CONTENT LAST REVIEWED: November2016