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MEDICAL SERVICES POLICY MANUAL, SECTION D D-300 State Residency

Medicaid categories may cover other services for these members whereas CHIP categories will only cover these required services. An “eligible juvenile” is any juvenile who meets the following criteria: • Age 20 or younger or • Ages between 18 and 26 AND eligible under the Former Foster Care group-See MS B-260 and • Inmate of a public institution and was determined eligible for medical assistance immediately before or while an inmate of a public institution. • Have been fully “adjudicated” which means they are officially sentenced.

Health Care coverage may not be terminated while the juvenile is an inmate of a public institution but must be placed in suspended status for up to twelve (12) months from the juvenile’s last eligibility determination. A juvenile’s suspended status will expire twelve (12) months from the date of the juvenile’s last eligibility determination. If the juvenile is returned to the same home that he or she left prior to entering the public institutions, and the Health Care case is still open with other children, the child’s coverage will be reopened. This case action will be treated as a change and a new application will not be required. If the juvenile is returned to the same home that he or she left prior to entering the public institution and was the only Health Care eligible child in the home, the case will be reopened. If it is within the renewal period, a new application will not be required.

If the juvenile does not have a case in suspended status, an application will need to be provided to DHS to determine eligibility.

NOTE: Juveniles who fall under the age of 19 will still be eligible for the continuous eligibility (CE) rule if they were approved in a CE eligible category. (See policy MS A-230) Juveniles that are ages 19 and over, except for Former Foster Care Juveniles, will not fall under the CE rule. Former Foster Care Juveniles are an CE eligible category.

D-380 Juveniles Entering Custody of Division of Youth Services (DYS) MS Manual 07/01/2026 The appropriate juvenile detention facility will notify the designated DYS staff when a Health Care recipient enters the facility. When this notification is received, DYS designated staff will place that child’s Health Care coverage in suspended status for up to twelve (12) months from the initial approval or most recent renewal. D-380 Juveniles Entering Custody of Division of Youth Services (DYS)