WAG 06-09-07: Redeterminations

PM 06-09-07

An extension of up to 2 months may be added to allow closure of Moms and Babies coverage and to provide correct correspondence.

Example: Redetermination due date - November 2020.

  • Reported Expected Date of Delivery (EDD) - September 9, 2020; 
  • Pregnancy End Date field in IES is not populated.
  • Case is selected for Form B;
  • Customer returns the redetermination packet  - November 19, 2020;
  • Redetermination is processed November 23, 2020;
  • Customer reports the pregnancy end date as September 10, 2020;
  • 2 months (December 2020 and January 2021) of Moms and Babies coverage are added; and
  • Customer is reviewed for eligibility for Family Health Plans effective February 1, 2021.