WAG 06-26-06
Redetermination Timeline
Family Planning (FP) cases will be certified for a 12-month period. The first redetermination for a Family Planning EDG is due 12 months from the calendar month in which the EDG is approved.
Redetermination Process
The Family Planning program is eligible to be considered for ex parte redetermination.
Enrolled customers will be assessed for Family Planning redetermination only and not full medical coverage, regardless of whether full medical + FP opt-in was requested on the initial application. If the customer is found ineligible for ex parte redetermination, the customer will be sent a manual redetermination form. Only the questions relevant to the FP program will be included on the redetermination form.
If a manual redetermination is being completed on a full medical case and the individual opted in for Family Planning, they can cascade down and be evaluated for Family Planning if no longer eligible for full coverage medical programs. See PM 19-02-04: for more information.
