Page 357

MEDICAL SERVICES POLICY MANUAL,SECTION K K-100 Medicaid Coverage of Foster Children

K 106 Reevaluations

7. The DCFS Eligibility Worker will maintain a separate case file for each child in Foster Care.

K-106 Reevaluations MS Manual 01/01/14 Reevaluations will be completed by the DCFS Eligibility Unit every 12 months based on the date of initial certification, or the date of the last reevaluation.

K-107 DCFS Eligibility Unit Responsibilities for Reevaluation MS Manual 01/01/14 Responsibilities of the DCFS Eligibility Worker during the reevaluation: 1. The CHRIS system will notify the DCFS Eligibility Unit when a reevaluation is due for a non- IV-E Foster Care Medicaid case. 2. Determination of continuing eligibility will be made by the DCFS Eligibility Unit, using the same criteria that were used for determining initial eligibility. 3. If eligibility continues, the DCFS Eligibility Unit will update the information in ANSWER. If the child is ineligible, the DCFS Eligibility Unit will initiate closure of the case. 4. If the case is closed, eligibility will be determined in another Foster Care Medicaid category, if applicable. 5. The Family Service Worker will be notified by the CHRIS system of continuing eligibility or case closure.

K-108 Changes MS Manual 01/01/14 The Family Service Worker will be responsible for notifying the DCFS Eligibility Unit of any change in the child’s circumstances through the CHRIS system or form CFS 495. Notice will be made when there is a change in income, resources, Foster Care case status (closure), change of residence, or when an adoption is finalized. The DCFS Eligibility Unit will narrate changes in ANSWER that affect the child’s Medicaid eligibility.