Pregnant Woman Medical

This program covers pregnant women from the date they apply through 12 months after the birth of the baby.

How to Qualify:

  • Your income must not be more than 139% of the Federal Poverty Level.  Once you qualify, you are covered until 12 months postpartum and your baby gets Medicaid through the month of his/her first birthday under the Postnatal Program.
  • There is no asset limit for this program.

Child 0-1 Medical

The Child 0-1 Medical covers a baby from birth to 12 months.

How to Qualify:

  • A child can only be covered by the Child 0-1 Medical if the mother was eligible for Medicaid for the month of the birth.  If the mother did not qualify for Medicaid for the month of birth, the child may be eligible for other medical programs. 
     

Pregnant Woman Medically Needy

The Pregnant Woman Medically Needy covers pregnant women who don't meet the income limits for the Pregnant Woman Medical.

How to Qualify:

  • Your net income (after deductions such as a $90 work allowance and child care expenses have been taken out) must not be more than the Pregnant Woman program income limit.
  • If your income is above the income limit for the Pregnant Woman Medical you can spenddown or "buy" Medicaid coverage by paying cash or submitting medical bills that bring your income below the income limit.
  • A pregnant member that meets a spenddown at any point during their pregnancy is entitled to continue to receive coverage through the remainder of their pregnancy and 12-month postpartum period.
  • Your child will get Medicaid for the first year under the Child 0-1 Medical program.

Baby Your Baby

The Baby Your Baby Program covers outpatient pregnancy related services while your Medicaid application is being processed.  If you are approved, Medicaid will cover the rest of your pregnancy along with other Medicaid covered services.

How to Qualify:

  • Your gross income (before taxes) must not be more than 139% of the Federal Poverty Level.  See income charts for poverty limits.

For more information on the Baby Your Baby program, click here.

Children's Health Insurance Program (CHIP)

The Children's Health insurance Program (CHIP) covers children who are not covered by other health insurance and do not qualify for Medicaid.  Click here for more information.

How to Qualify:

  • Your gross income (before taxes) must not be more than 200% of the Federal Poverty Limit.
  • The children must be U.S. citizens or legal residents and be under age 19.

State CHIP

Starting January 2024, the state of Utah will be offering a new CHIP benefit for non-citizen children called State CHIP. Children of working families may be eligible if they do not have other health insurance and cannot qualify for Medicaid or the traditional CHIP program due to citizenship status. A special open enrollment for State CHIP will begin on January 1, 2024. Click here for more information.

How to Qualify:

  • Your gross income (before taxes) must not be more than 200% of the Federal Poverty Limit.
  • The children must be Utah resident for at least 180 days and be under age 19.
  • If living with parent(s), at least one parent must have earned income.