All Medicaid Programs |
Obsolete Policy |
If an individual needs medical coverage, the date of application is the date of request.
Application policy and time frames apply (703).
Do not require a new application form.
For retroactive coverage, see 705.
Follow verification policy when necessary to determine ongoing eligibility (731).
If the household reports the birth and wants to add the child to an open case, treat the date of report as the application date.
If the child was born to a mother on Utah Medicaid, the child is eligible for Medicaid up through the month the child turns age 1 (347)
Approve the child for Child 0-1 back to the date of birth, regardless of the date of report.
Include a newborn who was placed for adoption for the month of birth and then remove the child from the household for the month following the adoption.
If the mother was not currently on Utah Medicaid, but other children in the household are open for Child Medicaid or CHIP, the following apply:
Add the child back to the date of birth, if the birth was reported timely,
If the birth was not reported timely, add the child the month of report, but not prior to the date of birth. Determine retroactive eligibility from the date of report.
If the mother of the newborn requests medical coverage, determine her eligibility for the best possible program and if eligible during the birth month, approve the newborn on Child 0-1 (347).
For ABD programs, when deeming income from a parent or spouse and a non-disabled child turns 18, decide if the allocation for the child must stop. If the 18-year-old child is still a student regularly attending school, college or a university, follow temporary absence policy if applicable. The allocation may continue until the child either turns 22 or stops regularly attending school.
Determine the effect the household change has on all household members’ ongoing eligibility, and take the appropriate action based upon the Medicaid program, and re-determine eligibility.
If a change makes an individual ineligible for ongoing coverage, look at all other possible medical programs the individual may be eligible for before ending coverage.
For a change that affects ongoing eligibility for current Medicaid recipients, the effective date of the change depends upon whether the change is positive or negative (815).