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Are children under a Title IV-E guardianship waiver eligible for Title XIX Medicaid in the state that determined the child to be eligible for subsidized guardianship (i.e., the guardianship state)?

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Are children under a Title IV-E guardianship waiver eligible for Title XIX Medicaid in the state that determined the child to be eligible for subsidized guardianship (i.e., the guardianship state)?

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Yes, children under a Title IV-E guardianship waiver are eligible for Title XIX Medicaid in their guardianship state or in any state in which they live if different than the guardianship state. All Title IV-E children, including children under guardianship waivers, are treated like other Title IV-E eligible children in that they are in what is known as a Medicaid “mandatory categorically needy” eligibility group. This means that they are part of an eligibility group that all states are required to include in their Medicaid coverage. Cite: 42 U.S.C. ยง1396a (10)(A)(i)(I).

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