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, if verification is needed to determine ongoing eligibility (731).
The following apply when adding a newborn:
If the birth is reported timely, add the newborn as of the date of birth.
If the birth is not reported timely, add the newborn the month reported.
If the baby was born to a mother on Utah Medicaid, the child is eligible for Medicaid up through the month of the child’s first birthday.
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 is based upon whether the change is positive or negative (815).