UPM 1521.10 - Processing Requirements

CONNECTICUT DEPARTMENT OF SOCIAL SERVICES UNIFORM POLICY MANUAL ______________________________________________________________________________ Date: 3-1-10 Transmittal: UP-11-01 1521.10 ______________________________________________________________________________ Section: Type: The Eligibility Process POLICY ______________________________________________________________________________ Chapter: Program: MA Presumptive Eligibility for Pregnant Women _______________________________________________________________ Subject: Processing Requirements ______________________________________________________________________________ 1521.10 A. Period of Eligibility

1. Beginning Date of Eligibility The beginning date of presumptive eligibility is the date that the qualified provider determines, on the basis of preliminary information, that the family income of the woman does not exceed the applicable income level of eligibility under the Medicaid State Plan for presumptive eligibility for pregnant women. (Cross Reference: 1521.05 B)

Ending Date of Eligibility Eligibility for presumptive eligibility for pregnant women ends with the earlier of: a. the day on which a determination is made with respect to the eligibility of the woman for medical assistance under the State plan; b. if a presumptively eligible pregnant woman does not file a completed application for Medicaid, through the Qualified Provider, with the Department by the last day of the month following the month in which she is determined presumptively eligible, her presumptive eligibility ends on the last day of the month following the month the presumptive eligibility determination is made; or c. the last day of the month in which the pregnancy ends.

B. Subsequent Periods of Presumptive Eligibility

The Department shall limit the number of times a pregnant women may receive presumptive eligibility to a single period for any given pregnancy.