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5.3.4 MEDICAID RE-DETERMINATION

Whenever a child loses Foster Care MA eligibility, complete a separate MA eligibility re-determination before Foster Care MA is terminated, unless the child dies or leaves Wisconsin.

 

IM Agency should be notified of children leaving the Foster Care system, with eligibility information.  Until the MA eligibility re-determination, the Child Welfare agency will extend MA eligibility using the Foster Care medical status code.

 

If there is insufficient information to redetermine MA eligibility, request needed information from the individual or family, who have a responsibility to cooperate,  If they do not comply within 30 days, MA can be terminated with an adverse action notice.

 

This page last updated in Release Number: 02-03

Release Date: 07/01/02

Effective Date: 07/01/02