PM 19-02-02

Each active case must have a REDE at least once every 12 months. In addition, act on any information that shows a change which may affect eligibility or shows a change in spenddown. See PM 18 for policy on changes.

The system reviews a Family Health Spenddown case in the last 6 months of the 12-month period to see if it has an All Kids Assist member, a Moms and Babies member, or has met spenddown in one of the last 3 months. If so, the case is REDEd on the same cycle as all other Medical cases. Otherwise, the case centrally cancels and must reapply.

new textAdministrative Renewals/REDES:

When a Family Assist, All Kids Assist, Share or Premium case is due for a renewal, the system determines if the case should receive the administrative renewal Form 643E or 643E-1. Administrative renewal clients who do not have changes to report, do not have to return the REDE form to continue receiving medical benefits for children. The system completes administrative renewals.

See PM 19-02-02-e for a list of cases that are excluded from the administrative renewal process.