PM 15-07-05.
If otherwise eligible, approve a Moms and Babies case for a woman who was not pregnant when she applied, but whose pregnancy ended in the month of application or in one of the 3 previous months.
Complete Form 552 (see WAG 25-08-01-b) with the following additions:
| Item 3 - |
Enter TA 10. |
| Item 28 - |
Enter the letter G. |
| Item 33 - |
Enter TAR 81. |
| Item 41 - |
Enter the last day of the month in which the pregnancy ended (6-digits) as the ending medical eligibility date. |
| Item 60 - |
Enter EDD and the month and year the pregnancy ended. |