Children under age 18 (or under age 19, 20, or 21 at the state's option) – states may impose alternative out of pocket costs on children under age 18 who are not covered under a mandatory categorically needy eligibility group or the Family Opportunity Act
Individuals living in an institution who are required to contribute all of their income (except a minimal amount required for personal needs) toward the cost of their care
Individuals receiving hospice care
American Indians and Alaska Natives who have ever received a service from the Indian Health Service, tribal health programs, or under contract health services referral
Women who are enrolled in Medicaid under the Breast and Cervical Cancer Treatment Program are exempted from alternative out of pocket costs only
Services Exempt from Out of Pocket Costs
Emergency services
Family planning services
Pregnancy-related services, including tobacco cessation (states may choose to exempt all services provided to pregnant women)