All Medicaid Programs

Obsolete Policy

 

Obsolete 0420 - 721 Eligibility Review

Effective Date: January 1, 2020 - April 8, 2020

Previous Policy

 

Reviews are required for all Medicaid programs.  A review is used to determine an individual’s eligibility for the next certification period.   

Complete the review based on whether or not a client is required to participate in the review process (See 721-1).

Signatures are required on reviews that require client participation.

End eligibility for individuals who fail to complete a review, when client participation is required, effective the end of the month in which the agency can send proper notice. 

A new certification period can be set for other medical programs with future review dates if all factors of eligibility have been reviewed, with the following exceptions. 

A time limited program which is set to end before the next review (721-4);

An Adult Expansion or Targeted Adult Medicaid program; or

Situations where an ex parte review cannot be completed because client participation is required (721-1).

See 715 for length of certification period.

See 435 for budgeting of income.

See 815 for changes during the certification period.