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All Medicaid Programs |
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Obsolete Policy |
No previous policy
Eligibility Criteria
This coverage group is for individuals who age out of foster care and are under age 26. 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 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 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 or tribal foster care 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.
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.
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.