PM 04-02-02-b
To authorize a Medical case when a woman is no longer pregnant, see WAG 25-08-01-b with the following exceptions:
Item 3 |
- Enter TA 10, Approve and Cancel, Medical Only. |
Item 28 |
- Enter the letter G. |
Item 33 |
- Enter TAR 81. (or TAR B9 for an otherwise ineligible noncitizen) |
Item 41 |
- In IPACS enter the last day of the month that the 60-day postpartum period ends. Use a 6-digit date. |
Item 60 |
- Enter EDD (Expected Date of Delivery) and the MM/YY the pregnancy ended. |
Item 74 |
- Enter code 36 |
When the case is approved, a medical eligibility file is created in the computer system. A Moms & Babies medical card is not issued because there is no eligible child. A Form 360C is centrally sent if the application is approved through AIS.
If the application is approved in IPACS, or the FCRC wants to send a locally issued notice, send the client Notice of Decision on Application for Medical Assistance (Form 458). If the application is approved as a spenddown case, send Notice of Decision on Application (MANG) for a Medical Eligibility Card (Form 458SP) with Form 458SPA/SPB attached, if needed.
If the applicant has an outstanding hospital bill, also send Local Notice of Decision on Application for Cash and/or Medical - Third Party (Form 360L) to the hospital.