|
All Medicaid Programs |
|
Obsolete Policy |
Eligibility Criteria
This coverage group is for individuals who age out of foster care and are under age 26. It includes children placed in foster care by Catholic Community Services (CCS) under the Unaccompanied Refugee Minor (URM) program who age out of that foster care program.
Individuals are eligible for this Medicaid category if they are not eligible for SSI Recipient Medicaid, poverty level Child Medicaid, Parent/Caretaker Medicaid or Pregnant Woman Medicaid, and they meet the following criteria.
Is age 18 to 26. Eligibility runs through the month they turn 26.
Was concurrently enrolled in Medicaid and foster care in Utah at age 18 or higher when foster care ended.
Was in the custody of DCFS, DHS, Catholic Community Services URM program, or an Indian tribe when foster care ended. Persons in the custody of Juvenile Justice Services are not eligible.
There is no income or asset test.
Application & Confirmation of Foster Care Status
An individual who has aged out of foster care may apply for Medicaid using any of the approved application methods described in section 703-1. Confirm the applicant received Medicaid coverage in the last month they were in DCFS foster care, tribal foster care or URM foster care through CCS on or after their 18th birthday.
If the former foster care child who meets the criteria in section A. 1-3, states having income over the income standard for the income groups shown in Section A, accept that statement and determine eligibility for this group.
Persons eligible on the Foster Care Independent Living program can be moved to Former Foster Care Individuals Medicaid at review or when they turn 21. They must have been on Medicaid when they aged out of foster care. (354-4)
Effective Date and Retroactive Coverage
Eligibility can begin with the month after the foster care Medicaid ends. Clients can receive retroactive eligibility based on the date of application if the client meets the criteria in Section A. in the retroactive months.
The State is identifying those individuals who aged out of the URM program in Utah since January 1, 2014. If they are state residents and not currently eligible and receiving Medicaid through another coverage group, they will be approved back to the date they aged out.
Additionally, those individuals who aged out prior to 2014 will be contacted and informed of their eligibility for this program and allowed to apply. If they respond by submitting an application, they will be approved according to the normal effective dates and retroactive time frames.
Signature and Assignment of Rights
The client must sign the review form or an application to complete Assignment of Rights requirements, the TPL requirements and to acknowledge the client has received the information about Medicaid rights and responsibilities. This can occur after moving a current recipient to the Former Foster Care group.
Medical Support Requirement
A client with a minor child living with them who receives Medicaid is required to cooperate with Medical Support enforcement unless they can show good cause for not cooperating.