All Medicaid Programs |
Obsolete Policy |
Effective date: January 1, 2014 - July 31, 2015
Eligibility Criteria
Individuals aging out of the Utah state foster care system can receive Medicaid from age 18 until age 21 under the Foster Care Independent Living program. These youth must meet the following criteria:
18 years old through the month they turn 21.
In foster care on their 18th birthday under state custody through the Division of Child and Family Services, or the Department of Human Services if the primary case manager was with the Division of Child and Family Services, or in the custody of an Indian tribe
Not eligible for another Medicaid program that does not require a spenddown or premium payment. Eligibility under another program may end before the child is 21, like Child Age 6-18, so the worker needs to move the client to the Foster Care Independent Living program when the child ages off the other programs.
Is identified by DCFS, DHS or a tribe through electronic or written verification as someone who was in foster care on his or her 18th birthday
Was not in the custody of the Division of Juvenile Justice Services on his or her 18th birthday.
Application & Assignment of Rights; Signature Required
An individual may apply for Medicaid on his own using any of the approved application methods described in section 703-1. The client must sign the review form or an application to complete Assignment of Rights requirements, the TPL requirements, and to acknowledge that the client has received the information about Medicaid requirements.
Effective Date and Retroactive Coverage
Eligibility under this group does not have to start in the month the child turns 18. If the client was in foster care upon turning 18 and meets the above criteria, eligibility can begin any month after reaching 18. Some foster care youth will remain in regular foster care past their 18th birthday, and may become eligible for the Foster Care Independent Living program sometime later.
Clients can receive retroactive eligibility based on the date of application, if the client meets the above criteria for the retroactive months.
Medical Support Enforcement
Clients with a minor child living with them who receives Medicaid are required to cooperate with Medical Support enforcement unless they can show good cause for not cooperating.
Former Foster Care Individual Medicaid
Persons eligible on the Foster Care Independent Living program can move 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. (354-3)