5220-6        REINSTATEMENT OF TRANSITIONAL MEDICAID

A household who again becomes eligible for Family Medicaid during their transitional benefit period is considered dually eligible for Transitional Medicaid and Family Medicaid.  The clock on the transitional benefit period continues to run.  If the household subsequently loses FM , they may be eligible for either:

1. a new transitional benefit period, if they meet the all of the conditions for Transitional Medicaid eligibility, or
    

2. the time remaining of the original Transitional Medicaid period.

Example 8:  

Mom and her three children were receiving Transitional Medicaid for seven months.  On the 7th month report, Mom reports that she lost her job and is no longer working.  The caseworker determines the household is again Family Medicaid eligible.  Within two months, mom reports and provides verification that she began a new job in which her earnings again exceed the Family Medicaid income limit.  The case is then converted back to Transitional Medicaid with three months of Transitional Medicaid eligibility remaining.

If the household is reinstated on their original transitional period, be sure to give adequate notice of any reporting requirements that they may have missed while back on FM .

If a household lost Transitional Medicaid coverage because they moved out of state and then returned to Alaska, that household may be reinstated for the remainder of their previous Transitional Medicaid period.  The household must continue to meet all requirements of this category, including the filing of all required reports.  If the household returns to Alaska within a year after the FM benefits were terminated, the months of absence are counted as if the household had actually received Transitional Medicaid benefits.