Section 7.100.104. Mandatory members of the household.  


Latest version.
  • 	(a)  Unless otherwise provided in this chapter, the following individuals are mandatory members for the household for the purposes of determining Family Medicaid eligibility if they are living in the same home:  
    		(1) a dependent child; to be determined a dependent child, an individual must be deprived of parental support and care under 7 AAC 100.106, and must be  
    			(A) under 18 years of age; or  
    			(B) under 19 years of age and enrolled full-time in a secondary school or in the equivalent vocational or technical training;  
    		(2) except as provided in 7 AAC 100.120(a)(6), a sibling of a dependent child under (1) of this subsection if the sibling is also a dependent child;  
    		(3) a parent of a dependent child under (1) of this subsection, even if the parent is temporarily absent as described in 7 AAC 100.112.  
    	(b)  Except as provided in (c) of this section, the department will deny eligibility if the applicant fails to identify an individual who is a mandatory member of the household or fails to provide all of the information requested by the department to verify the eligibility of each mandatory member of the household.  
    	(c)  If the department is unable to verify the relationship between a child and the child's caretaker relative or between the child and other children who are mandatory members of the household, the department will proceed with providing benefits to the other eligible children who are mandatory members of the household if the applicant is cooperating with the department in securing the necessary verification and is not attempting to exclude the child merely by withholding verification. Until the department verifies the child's relationship to the caretaker relative and the other children in the household, the department will not consider the child to be a mandatory member of the household.  
    	(d)  When the parent of a dependent minor parent applies for Family Medicaid benefits on behalf of the minor parent, the dependent child of the dependent minor parent is considered an optional member of the household and may be included in the Family Medicaid household under 7 AAC 100.116, if all three individuals are living in the same home.