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MEDICAL SERVICES POLICY MANUAL,SECTION K K-100 Medicaid Coverage of Foster Children K 105 DCFS Eligibility Unit Responsibilities for Initial Eligibility

K-105 DCFS Eligibility Unit Responsibilities for Initial Eligibility MS Manual 01/01/14 The responsibilities of the DCFS Eligibility Unit during the initial determination of eligibility are as follows: 1. The DCFS Eligibility Unit will register the initial Medicaid application in the eligibility system. 2. In determining eligibility the following income and resource levels are applicable: a. Category 61 – ARKids A (Appendix F-Income) b. Category 91 – Appendix T c. Category 92 – Appendix T d. Category 96 - Medically Needy –EC (Appendix N) e. Category 97 - Medically Needy - SD (Appendix N) The appropriate income information will be entered in ANSWER. If the child has income greater than the applicable income level for the category, that child will not be eligible for Medicaid in that category. 3. After determination of eligibility, certification of eligible Foster Children will be done by entering the approval information in ANSWER. 4. If a Foster Care Medicaid case number has previously been obtained by the DCFS Eligibility Unit, this number will be the case number for the Medicaid case. If the Eligibility Worker approves the Foster Care Medicaid case, the Family Service Worker will be notified of the case number through the CHRIS system. 5. If an IV-E child has a child of his or her own living in the same household, the minor parent and his or her child will be set up in separate Medicaid cases. The eligibility requirements to be considered for the minor parent’s child are: a. The minor parent is IV-E eligible, and b. The child is living with the minor parent. 6. If the application is denied, the denial information will be entered into ANSWER.