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TITLE 16 HEALTH AND SAFETY DELAWARE ADMINISTRATIVE CODE 25 • attestation of income is at or below the income standard and the electronic verification is above the income standard and the difference between the 2 is 25% or less. When the difference between the attestation of income and the electronic verification is more than 25%, a reasonable explanation will be sought from the applicant or beneficiary. A reasonable explanation may include, but is not limited to, a loss of employment or reduced hours of employment. If both the reported income and the data source indicate that the income is below the applicable standard then no additional information is needed. Post-enrollment verification will be completed in accordance with the agency’s verification plan approved by the Centers for Medicare & Medicaid Services (CMS). Post-enrollment verification of income and Medicare will be completed within 30 days of the date of enrollment. When additional information is needed to complete the eligibility determination, the agency will request such additional information from the individual. The individual will be provided 30 days to respond to the request for additional information. If the additional information requested is not provided, eligibility will be terminated unless the child is in a continuous eligibility period. See Section 14810.2 Continuous Eligibility for Children in Medicaid. Exceptions to the verification requirements will be permitted on a case-by-case basis when documentation does not exist or is not reasonably available, such as for individuals who are homeless or have experienced domestic violence or a natural disaster. The exception does not apply to the verification requirements for citizenship and immigration status. 17 DE Reg. 503 (11/01/13) 17 DE Reg. 731 (01/01/14) 26 DE Reg. 590 (01/01/23) 27 DE Reg. 680 (03/01/24) 14810 Continuous Eligibility Continuous eligibility provides coverage for a predetermined period of time, regardless of changes in circumstances, with certain exceptions. 13 DE Reg. 1540 (06/01/10) 17 DE Reg. 503 (11/01/13) 27 DE Reg. 680 (03/01/24) 14810.1 Continuous Eligibility for Pregnant Women 42 CFR 435.116 42 CFR 435.170 Once a pregnant woman is determined eligible, she remains eligible throughout the pregnancy and the postpartum period regardless of changes in circumstances or eligibility category she is currently enrolled in. Refer to DSSM 15200 for full details around Continuous Eligibility for Pregnant Women. 27 DE Reg. 680 (03/01/24) 14810.2 Continuous Eligibility for Children Enrolled in Medicaid 42 CFR 435.926 Effective January 1, 2024, all children under the age of 19 who are enrolled in Medicaid under any eligibility program shall have 12 months of continuous eligibility. The continuous eligibility period begins: • For applicants on the date of the individual's eligibility. • Following an annual renewal, on the effective date of the individual's renewal, which begins a new eligibility period. A child's eligibility may not be terminated during a continuous eligibility period, regardless of any change in circumstances, unless: (1) The child attains age 19, unless the child is in a 12-month postpartum period; (2) The child or child's representative requests a voluntary termination of eligibility; (3) The child ceases to be a resident of the State; (4) The agency determines that eligibility was erroneously granted at the most recent determination, or renewal of eligibility because of agency error or fraud, abuse, or perjury attributed to the child or the child's representative; or (5) The child dies.