5007-2 CONTINUOUS ELIGIBILITY AND TRANSITIONAL MEDICAID
Transitional Medicaid is a special category of eligibility based on losing Family Medicaid eligibility. Eligibility for Transitional Medicaid does not entitle a child to 12 months of continuous eligibility. Therefore, we keep track of any existing CEPs when Transitional Medicaid is authorized in case a child is removed from the Transitional Medicaid household and placed into a situation where they would not have Medicaid eligibility.
Example:
Sally is part of her mother’s household which is on Transitional Medicaid
when it is decided that she should go and live with Dad. His income
exceeds the Family Medicaid and DKC income standards for his household
size, but he has no health insurance to offer Sally because he is self-employed
and cannot afford private insurance. Sally can use the rest of her
previously determined continuous eligibility period
When Transitional 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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