WAG 18-02-02 

When an AABD or TANF case becomes ineligible for cash benefits, determine if the case is eligible for any type of medical benefits, including revised textAll Kids Share or Premium.

new textUse MAGI budgeting to determine eligibility for Family Health Plans or the ACA Adult program (see the 9/26/13 policy memo, Modified Adjusted Gross Income (MAGI) Budgeting for Medical.

  • new textNote: Civil union partners are recognized as spouses for TANF, but not for medical. If the TANF case contains an optional civil union partner, delete the optional partner from the FHP case using TA 34 TAR 16 and determine his or her eligibility for the ACA adult program.

Once the case is identified as eligible for medical benefits, take immediate action to continue to provide medical benefits. This includes authorizing extended medical, completing a SWAP transaction, or setting up a new case with a different category and basic number. The client does not have to complete a new application or request the change. There must be no break in medical coverage, unless the new medical benefits case is eligible in unmet spenddown status.

Complete and send a timely notice to tell the client that their cash benefits will stop. When income makes the cash benefits stop, complete and send a computation form with the cancellation notice.