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Table 7: Treatment of Two-Parent Families
Under Medicaid
Table 7 shows whether or not a state has decided to cover
two-parent families to the same extent that it covers single-parent families under
Medicaid by eliminating the so-called "100-hour" rule. The 100-hour rule, which
is a remnant of the old AFDC system, restricts Medicaid coverage to two-parent families in
which the principal wage earner works fewer than 100 hours a month. As
a result of a regulation issued by the Department of Health and Human Services on August
7, 1998, all states now have the option to effectively drop the 100-hour rule and to
provide Medicaid to two-parent families on the same terms that it is available to
single-parent families.(21) Even prior to the regulation,
a majority of states had statewide waivers that gave them the option to dispense with the
100-hour rule requirement when determining a family's eligibility for Medicaid.
Unless otherwise noted, the information in Table 7 is based
on a state's Medicaid rules for two-parent families under its family coverage category.
States marked with an "*" have not yet established a family coverage category,
but do have a medically needy category and the information in this table is based on their
medically needy eligibility rules. States marked with "**" have not yet
established a family coverage category, but have expanded coverage to low-income working
parents under an 1115 waiver.
Table 7
Treatment of Two-Parent Families Under Medicaid |
| |
Cover two-parent
families to the same extent as single-parent families? |
| Totals |
35 Yes
15 No
1 Varies |
| Alabama |
Yes |
| Alaska |
Yes |
| Arizona |
Yes |
| Arkansas |
No |
| California(22) |
New applicants -- No;
Recipients - Yes |
| Colorado |
Yes |
| Connecticut |
Yes |
| Delaware |
Yes |
| District of Columbia |
Yes |
| Florida |
No |
| Georgia |
Yes |
| Hawaii ** |
Yes |
| Idaho |
Yes |
| Illinois |
Yes |
| Indiana |
Yes |
| Iowa |
Yes |
| Kansas |
Yes |
| Kentucky |
No |
| Louisiana |
No |
| Maine |
No |
| Maryland |
Yes |
| Massachusetts ** |
Yes |
| Michigan |
Yes |
| Minnesota |
Yes |
| Mississippi |
Yes |
| Missouri |
Yes |
| Montana |
Yes |
| Nebraska * |
No |
| Nevada |
Yes |
| New Hampshire |
No |
| New Jersey |
Yes |
| New Mexico |
Yes |
| New York |
Yes |
| North Carolina |
Yes |
| North Dakota |
No |
| Ohio |
Yes |
| Oklahoma |
No |
| Oregon |
Yes |
| Pennsylvania |
No |
| Rhode Island |
Yes |
| South Carolina |
Yes
|
| South Dakota |
Yes |
| Tennessee |
No |
| Texas* |
Yes |
| Utah* |
No |
| Vermont |
Yes |
| Virginia |
Yes |
| Washington |
Yes |
| West Virginia |
No |
| Wisconsin |
No |
| Wyoming |
No |
NOTES
21. Note that two-parent families
subject to the 100-hour rule requirement used to also be required to meet a "work
history requirement" that restricted coverage to those two-parent families in which
the principal wage earner had been employed for at least three out of the previous six
months. When Medicaid eligibility for families with children was delinked from cash
assistance, the work history requirement was eliminated.
Return to text
22. As of March 1, 2000, California
also will waive the 100-hour rule for any applicant family with net earnings below 100
percent of the federal poverty level.
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