WAG 18-05-06.

text deletedA family that is receiving TANF or Family Assist may be able to keep receiving medical benefits under extended medical when their income exceeds the income standard.

revised textTo receive extended medical, a TANF or Family Assist family must have lost eligibility because of earnings, child support, or failure to respond to the New Hire List. The earnings can be from a new job or an increase in pay for an ongoing job. If a family lost eligibility for some other reason, they do not qualify for extended medical.

The person who is working has to be in the home but does not have to be in the benefit unit. This does not apply to parent liability.

To receive extended medical due to receipt of child support, the family must have received TANF or Family Assist in 3 of the last 6 months.

A family can receive extended medical up to 12 months. Start counting the extended medical with the first month the family should have stopped receiving TANF or Family Assist. This will be the month action could have been taken had the earnings been reported and a timely notice of change provided. Use this month as the first month of the extended medical.

An eligible family receives an initial 6 months of extended medical and can then receive an additional 6 months if they:

  • complete and return all necessary forms; and
  • still have a child at home who was included in the first 6-month extension; and
  • have earnings that are less than 200% of the federal poverty level after child care costs are subtracted; and
  • have not quit work without good cause.

If the extended medical ends during the 12-month period, any person under age 19 remains eligible under Continuous Eligibility (see PM 18-05-01).