WAG 06-35-03: Case Changes/Redeterminations

PM 06-35-03

New Manual textEligibility will be redetermined annually and whenever a change is reported.

HBIA cases are maintained and renewed the same as ACA and Family Health Plan Cases. Refer to PM 19-02-02 for processing ACA/family health plan redeterminations.

Example: Elena, 25 years old, came to the U.S. in 1/1/xx on H1B visa as a temporary employee of an IT firm in NY. Elena is eligible for HBIA.

However, she was forced to work in a sweatshop. After 2 years, Elena received assistance from local legal and volunteer agencies and Elena was granted a Victim of Trafficking status and received a Certification Letter from the Office of Refugee Resettlement (ORR). The "certification date" on the letter was 6/15/xx.

6/15/xx is the date Elena became a qualified alien and met immigration status requirements for federally funded assistance.

Example: Mr. Heinz has HBIA, but is turning 65 this month, his eligibility to transition to HBIS should be reviewed.