5210           POST MEDICAID -- INCREASED CHILD SUPPORT

 

Household’s who become ineligible for Family Medicaid solely due to increased collections of child support by direct payment or through the Child Support Enforcement Division ( CSSD ) are eligible for Post Medicaid for four months, providing they were eligible for and receiving Family Medicaid in at least three of the six months prior to losing FM .  The four month eligibility period begins the month the household became ineligible for Family Medicaid. The household is not required to continue to meet FM eligibility requirements, but it must retain Alaska residency.

 

Example:  

The household consists of a mother and her two children who are receiving Family Medicaid.   CSSD notifies DPA that regular child support payments are now being received for the children.  The amount exceeds the FM need standard for the household size.  The family is no longer eligible for Family Medicaid, but it may receive Post Medicaid benefits for up to four months, beginning with the first month of ineligibility for Family Medicaid.

 

Medicaid Recipients in Other Categories:  Post Medicaid eligibility is based on a household’s eligibility for and receipt of Family Medicaid in three of the last six months.  If, when looking back six months, the caseworker finds that a household member received some other category of Medicaid, the caseworker should determine whether that household member could have been eligible under the FM eligibility category for any of those months they received Medicaid under the other category.  If that household member does meet FM 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 Family Medicaid eligibility also existed for that month.  This must be documented in the case file.

 

EIS INFORMATION

MEDICAID SUBTYPE:

4M

4 month Post-Medicaid eligibility

ELIGIBILITY CODE:

52

Post-Family Medicaid eligibility

11

Pregnant Woman

 

Previous Section

 

Next Section