PM 06-28-01
IES Phase 2
In IES on the Living Arrangements/Domicile-Details screen, answer yes to the question "Did the individual lose Medicaid due to Aging out of Foster Care at age 18?" to process the application for Former Foster Care. The EDG Summary will show ACA Adult.
In Wrap Up-Eligibility Summary, click on one of the approved months, then click on the Notice Reasons tab to find the Former Foster Care designation. Note: the Certification Summary will show ACA Adult.
Legacy Process
Former Foster Care cases are opened as a category 94 case for one adult only. Enter Code J in Item 25.
Examples
For the list of MANGP codes used for federally funded medical coverage for foster care, see WAG 06-28-01-a.
Example 1: Mr. A, age 23, applies for medical benefits. He reports he received foster care through IL DCFS through age 18. DCFS ended his medical coverage at age 20. Staff review MMIS, and it shows Mr. A had MANGP code XK at age 18. Mr. A meets all of the other Former Foster Care requirements. In the IES Living Arrangement/Domicile screen, answer 'YES' to the foster care question. IES will show Mr. A as an ACA Adult EDG. Approve Mr. A for medical benefits. Confirm Former Foster Care by reviewing the Notice Reasons tab in Wrap Up Eligibility Summary.
Example 2: Ms. B received adoption assistance through IL DCFS through age 18 as verified by MANGP code TE in MMIS. DCFS ended her medical coverage at age 19. Ms. B is not Former Foster Care eligible because she was not receiving foster care services at age 18. Review eligibility for ACA Adult and other medical programs.
Example 3: Mr. C received foster care through Indiana's child welfare agency but now lives in IL. Mr. C is not eligible for Former Foster Care because Former Foster Care eligibility requires that he received foster care through IL DCFS. Review eligibility for ACA Adult and other medical programs.
Example 4: Ms. D received foster care through IL DCFS through age 18 but is living in Iowa. Ms. D is not eligible for Former Foster Care because she is not an IL resident.
