NICU Social Security Large

Is Your Baby Eligible for Social Security or Medicaid?

Author: Team NICU 101
Published Date: Tuesday, November 21, 2017

All babies who have a low birth weight (1199 grams or less) are eligible for Social Security (SSI) and Medicaid benefits through the Low Birth Weight Program.

While your low birth weight baby is in the hospital, SSI eligibility is not based on family income or resources, only birth weight. Once your low-birth-weight baby is discharged, family income will be considered to determine if the baby is still eligible for this first-year-of-life program. If your baby meets the low-birth-weight criteria and you would like to file for SSI benefits on your child’s behalf, please speak with your social worker to get an application.

A Social Security representative is available in the NICU family waiting room two Wednesdays a month, at 1 p.m., to accept applications for the program. The sign-up sheet is available at the reception desk between 12:30 p.m. and 1 p.m. on the designated Wednesdays. Please contact your NICU social worker or call Social Security at (800) 772-1213 if you have additional questions.

Please note: Application for Medicaid is a separate process; please see your social worker for further instructions.

In addition, if your baby has been in the hospital longer than 30 days, he/she becomes eligible for Medicaid as a secondary insurance. Please see your social worker or case manager in the fishbowl for details.

About Team NICU 101

CHKD is home to the region’s largest and most sophisticated neonatal intensive care unit, certified by the state as a subspecialty nursery. We provide intensive care for high-risk, critically-ill neonates and care for approximately 500 babies a year.