What Happens When a Child on Medicaid Turns 18? Discover the age milestones for crucial programs

What happens when a child on Medicaid turns 18?

An image for ilustration of Medicaid
Turning 18 opens new chapters! Explore the changes in healthcare access, from pediatricians to Medicaid. Photo: Freepik

When a child turns 18 and becomes a legal adult, several services they receive will change, along with the way they access support for these services.

Here are some programs that will conclude as your child becomes an adult:

1. Children’s Medicaid concludes at age 18. If your child is enrolled in STAR Kids, they can continue until age 20, transitioning to STAR+PLUS at 21. Connect with your child’s service coordinator for assistance in transitioning to Medicaid programs for adults.

2. The Children’s Health Insurance Program concludes at age 18.

3. The Medically Dependent Children’s Program waiver concludes at age 21.

4. The Youth Empowerment Services waiver concludes at age 19.

5. The Children with Special Health Care Needs program concludes at age 21. However, for those with cystic fibrosis, participation can continue beyond this age.

  1. Additionally:
    Health insurance coverage through employer-provided or private insurance may end. Your child can remain on your family plan until age 26 or longer if they depend on you financially and have a disability meeting SSI criteria. Contact your health insurance company a year before your child turns 26 to discuss continuation options.
  2.  Some pediatricians may cease seeing children at age 18. Confirm with your pediatrician and find further information on our page about transitioning to adult medical care for your child.

How long does Medicaid last after you turn 18

Individuals up to the age of 21 may qualify for Medicaid.

For young people who have transitioned out of foster care, Medicaid coverage is available until they turn 26, with no income limit applicable to these individuals.

It is important to note that Medicaid and CHIP coverage is specifically designed for U.S. citizens and certain lawfully present immigrants.

Does Medicaid stop when you turn 18 NC?

MIC-N offers Medicaid coverage for individuals under the age of 19.

This coverage extends to both children and parents in the household who fall under the age of 19.

MIC-1, on the other hand, provides Medicaid for eligible individuals from birth through five years old.

It applies to those with countable income that surpasses the MIC-N income level but remains equal to or up to 200% of the federal poverty level (fpl).

Does Medicaid stop when you turn 18 in Indiana?

As of my knowledge cutoff date is January 2024, Medicaid coverage typically continues beyond the age of 18 in Indiana for individuals who meet certain criteria.

Medicaid expansion under the Affordable Care Act (ACA) allows young adults to remain on their parents’ Medicaid coverage until the age of 26, regardless of whether they are still living with their parents or are financially dependent.

The specific provision you mentioned, where Medicaid is available until age 26 for those who exit foster care at age 18 and were on Medicaid while in foster care, is in line with the broader ACA provision for young adults.

This extension of coverage aims to provide continued access to healthcare for individuals who may experience transitions, such as aging out of foster care.

It Is important to note that Medicaid policies may change, and it Is recommended to check with the Indiana Medicaid program or relevant state authorities for the most up-to-date information on eligibility criteria and coverage options, especially since there may have been changes after my knowledge cutoff date in January 2024.

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