Reference Hard Cards 510-03-105
Coverage Hierarchy Order 510-03-105-05
(Revised 1/18/2023 ML #3697)
This Reference Hard Card explains the order in which eligibility is tested under ACA Health Care Coverage.
| Coverage Hierarchy Order (Highest to Lowest) COEs DESCRIPTION |
COEs
|
DESCRIPTION |
|
1 |
M098 | Non IV-E State or Tribal Foster Care Children |
| 2 | M091 | ACA Former Foster Care Child |
| 3 | M067, M67A, M095 | ACA Children |
| 4 | M066 | ACA Pregnant Woman |
| 5 | M063 | ACA Parent/Specified Caretaker Relative |
| 6 | M086 | ACA Transitional Parent/Specified Caretaker Relative |
| 7 | M088 | ACA Extended Parent/Specified Caretaker Relative |
| 8 | M087 | ACA Transitional Children |
| 9 | M061 | ACA Extended Children |
| 10 | M078 | Optional Children's Group |
| 11 | M075, M069, M064 | Medicaid Breast and Cervical Cancer Early Detection Program |
| 12 | M062, M76A | ACA Adult 19 or 20 |
| 13 | M058, M059, M077, M089, M060, M065 | Adults Medically Frail |
| 14 | M076 | ACA Adult Expansion |
| 15 | M081 | Emergency Services |
