5007-3        CONTINUOUS ELIGIBILITY AND POST MEDICAID

 

At the time a household loses Family Medicaid eligibility because of increased child support payments, the household should be moved to the 4-month Post Medicaid ( 4M ) category.  If the household includes a child who is in a continuous eligibility period that extends beyond that 4-month period, the child must remain coded FM-AF.  If a child has 4 months or less remaining in a continuous eligibility period, the child should be coded 4M along with the parents.

 

Post Medicaid is a special category of eligibility based on losing Family Medicaid eligibility.  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 continuous eligibility period 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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MC #41 (4/09)