When a TANF or Family Assist case is no longer eligible due to earnings or spousal support received by the parent or caretaker relative, the entire family is eligible for extended medical (see PM 18-05-06). In all other situations, if the Last Medicaid Determination Date (LMDD) is within the last 12 months, all persons under 19 remain eligible for medical due to continuous eligibility policy (see PM 18-05-01). Take immediate action to make changes in eligibility for each person age 19 and over.
For each person under age 19, if the LMDD is more than 12 months ago, review eligibility for All Kids Share or Premium. Cancel medical benefits if they are ineligible because family income is over 318% of the FPL.
For persons age 19 and over, cancel or delete them from the medical case if their income is over 138% of FPL.