Health care coverage
Children under 21 who have a disability or are Blind
This information describes Medical Assistance (MA) eligibility requirements for children under 21 who have a disability or are Blind.
Apply to see if your child qualifiesMedical AssistanceHow much does coverage cost?
For some people, the only cost is copays for some services. Depending on your income, there may be a monthly premium or spenddown.
Copays and premiumsSpenddownsWhen can my child's coverage start?
After your child is approved, coverage may:
- Go back to the first day of the month we get your application
- Go back three months from the month we get your application
- Begin the month after your child is approved
Call your county or Tribal office if you have questions about when coverage can start.
What do I need to show that my child has a disability or is Blind?
To be considered a person with a disability for MA, your child must be certified disabled through the Social Security Administration or the State Medical Review Team.
[Learn about certifying a disability]What is the income limit?
The income limit and whose income is counted depend on:
- Your child's age
- What services your child needs
- Who lives with you
If my income is more than the limit, can my child still get coverage?
Yes, your child may still get coverage under:
[TEFRA Option - Medical Assistance (for children under 18)] [Medical Assistance for Employed Persons with Disabilities] [Home and community-based waiver programs]Can my child get coverage if I have a house, car, savings or other assets?
Yes, children under 21 do not have an asset limit.
What if my child has other health insurance?
Your child may still get coverage. You must tell us if your child has other health insurance or could be covered by someone else's insurance. Sometimes we can pay the cost of the other insurance so you can keep that coverage.
Learn how other insurance could impact eligibility