832 POST MEDICAID - INCREASED SPOUSAL SUPPORT
Households who become ineligible for MAGI Medicaid solely due to increased collections of court ordered spousal support are eligible for Post Medicaid for four months, providing they were eligible for and receiving MAGI Medicaid in at least three of the six months prior to losing MAGI Medicaid. The four month eligibility period begins the first month after the household became ineligible for MAGI Medicaid. The household is not required to continue to meet MAGI eligibility requirements, but it must retain Alaska residency.
Example:
The household consists of a mother and her two children who are receiving MAGI Medicaid. The mother reports she is starting to receive spousal support. The amount exceeds the MAGI Medicaid need standard for the household size. The family is no longer eligible for MAGI Medicaid, but it may receive Post Medicaid benefits for up to four months, beginning with the first month of ineligibility for MAGI Medicaid.
Counting Retroactive MAGI Medicaid
Because a household can apply for Medicaid for up to three months prior to the date of application, it is possible that those three retroactive months will meet or help meet the Post Medicaid requirement that a household be eligible for and have received MAGI Medicaid in three of the last six months. A household will meet the Post Medicaid requirement even if their only months of MAGI Medicaid were the three months before the month of application in which Retroactive MAGI Medicaid was issued. See section 827.
Eligibility benefits must be issued for each month used even if there are no unpaid medical bills for that month.
Medicaid Recipients in Other Categories: Post Medicaid eligibility is based on a household’s eligibility for and receipt of MAGI Medicaid in three of the last six months. If, when looking back six months, the ET finds that a household member received some other category of Medicaid, the ET should determine whether that household member could have been eligible under the MAGI Medicaid eligibility category for any of those months they received Medicaid under the other category. If that household member does meet MAGI Medicaid eligibility criteria for a particular month, that month may count toward meeting the three of the last six months Post Medicaid requirement. This will prevent household members from missing out on Post Medicaid eligibility because they received Medicaid under another eligibility category when MAGI Medicaid eligibility also existed for that month. This must be documented in the case.
Note:
If increased spousal support closes Parent/Caretaker Relative Medicaid, and the individual does not qualify for Expansion Medicaid, the individual should be eligible for Post Medicaid.
If increased earned income closes Parent/Caretaker Relative Medicaid, and the individual does not qualify for Expansion Medicaid, the individual should be eligible for Transitional Medicaid (MAGI MS 828).
832 A. CONTINUOUS ELIGIBILITY AND POST MEDICAID
If the household includes a child who is in a CEP that extends beyond that 4-month period, the child remains on the original CEP. If a child has 4 months or less remaining in a CEP, the child's benefits should switch to Post Medicaid along with the parents.
Eligibility for Post Medicaid does not entitle a child to 12 months of continuous eligibility. Therefore, a child is not eligible for a new 12-month CEP based on any month of Post Medicaid eligibility. When Post Medicaid eligibility ends and the original CEP has already ended, a new application must be submitted in order to redetermine eligibility for Medicaid.
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