man changeThis code lists for categories 04, 06, 94, and 96.

This code identifies a child(ren) in the unit who will reach age 19 the month of the PAL. Review the case to determine if the child(ren) is eligible to continue receiving medical assistance.

Casework Action

  1. Review eligibility under all medical programs for the 19 year old child.
  2. If the child remains eligible under any medical program and there are other children in the case, delete the child from the current case.
  3. If the child remains eligible and there are no other children in the case, cancel the current case. Set up a new case for the 19 year old.
  4. If the child is ineligible under all medical programs:
    • When other children are in the case, delete the 19 year old the month after his or her nineteenth birthday.
    • When there are no other children in the case, cancel the case for the month after the child's 19th birthday.