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Healthy Kids and Maternity Outpatient Medical Services

Healthy Kids

Healthy Kids is a Medicaid insurance program for children from birth to 19 years of age, and for pregnant women of any age.

Healthy Kids provides no cost medical and dental coverage for children age 1 to 19 in families who are at or below 150% of the federal poverty guidelines. Pregnant women and children under age 1 must be at, or below, 185% of the federal poverty guidelines. Healthy Kids covers women during pregnancy and the first two months after pregnancy ends. Babies may be eligible for up to one year after birth. The parent who has full custody of the child should apply and their income must be verified to determine eligibility. Applicants may be covered by other insurance and still qualify for Healthy Kids.

 

The number of family members plus gross income determines eligibility for the program. Those applying must be a Michigan citizen or a legal immigrant. (People who do not meet citizenship requirements qualify for emergency health care services. Pregnancy-related emergency services are delivery (birth) of baby and hospital care.)


Healthy Kids covers most medically necessary health care needs including:

  •  Ambulance/emergency services
  •  Dental
  •  Diagnostic services
  •  Doctor visits
  •  Family planning
  •  Health check-ups
  •  Hearing and speech
  •  Home health care
  •  Hospice care
  •  Hospital care
  •  Immunizations (shots)
  •  Lab and x-ray tests
  •  Medical supplies
  •  Mental health
  •  Medicine / prescriptions
  •  Nursing home care
  •  Personal care services
  •  Physical therapy
  •  Prenatal care and support services
  •  Specialty physician services
  •  Substance abuse
  •  Surgery
  •  Vision
  •  Well-child visits


Any physician or other practitioner or agency who participates in a Medicaid-enrolled managed care plan will provide services.

Maternity Outpatient Medical Services (MOMS)

Additional cost-free help for pregnant women is available through the Maternity Outpatient Medical Services (MOMS) program. This State funded program is to help decrease the infant mortality rate and encourage women to seek early prenatal care. It was known as the Non-Medicaid MICH-Care program. MOMS is the new name for this old program.


MOMS provides coverage for prenatal and postnatal outpatient care services. It covers pregnant or recently pregnant women during pregnancy through the first two months after birth. However, it does not include services provided to the newborn child. The parent or caregiver is encouraged to apply for Healthy Kids or MIChild for the infant.


The client is given a guarantee of payment letter to be used for the first 45 days after initial contact. This letter covers pregnancy related services immediately and can be used while Healthy Kids (Medicaid) is being processed. Some of the services covered are:

  •  Childbirth education 
  •  Laboratory 
  •  Maternal Support Services (MSS) 
  •  Pharmaceutical (medicine) 
  •  Prenatal care 
  •  Prescription vitamins 
  •  Professional fees for labor and delivery 
  •  Radiology / Ultrasound


For more information call 517-541-2696 (Eaton County) or 269-798-4135 in Barry County.