All Medicaid Programs |
Obsolete Policy |
Effective Date: November 1, 2017 - June 30, 2019
Verifying eligibility for the TAM coverage group (346) is based upon the different coverage groups and subgroups. Use the table below to determine the verification process and which verification is needed at application and review.
Group |
Subgroup |
At Application |
At Review |
Verification |
Chronically Homeless |
12 Month Homeless |
Has to be meeting the homeless or supportive housing criteria. |
Has to still be meeting the homeless or supportive housing criteria. |
HMIS or Form 42A (questions 1 and 2) |
Supportive Housing |
Form 42A (questions 1 and 3) |
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Justice Involved |
Involved with a Drug or Mental Health Court |
Has to be currently involved with the court. |
Has to still be currently involved with a court. |
Form 43A (question 2) |
Released from jail or prison |
Has to meet the treatment criteria and the application must be submitted within 60 days from date of release. |
No verification needed.
If there is a break in coverage, ‘At Application’ criteria applies. |
Form 43A (question 1) |
|
Discharged from State Hospital |
Has to meet the State Hospital criteria and the application must be submitted within 60 days of being discharged. |
No verification needed.
If there is a break in coverage, ‘At Application’ criteria applies. |
Form 44A (question 1) |
|
Needing Treatment |
6 Month Homeless |
Has to be meeting the homeless criteria. |
Has to still be meeting the homeless criteria. |
Form 42A (question 4) |
Discharged from State Hospital |
Has to meet the State Hospital criteria for Needing Treatment and the application must be submitted within 60 days of being discharged. |
No verification needed.
If there is a break in coverage, ‘At Application’ criteria applies. |
Form 44A (question 2) |
|
General Assistance (GA) |
Has to be meeting the GA criteria. |
Has to still be meeting the GA criteria. |
Form 1GA
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