Page 25

Chapter: 1400 Technical Requirements Program: MFAM 21 1430.0807 Temporary Absence from the Home (MFAM) Temporary absences from the home by the child, parent, or relative of 30 days or less duration do not affect the parent’s or other caretaker relative’s ability to continue to derive eligibility. Absences of more than thirty days do not affect eligibility when:

1. the parent or relative continues to exercise care and control of the child during the absence;

Note: Care and control are considered to exist when the parent/relative continues to have contact with the child through visits, phone calls or mail; and gives directions on the child's care to the substitute caretaker. The child may be cared for in his own home or in the home of the substitute caretaker:

2. a definite plan exists for the absent child or parent/relative to return to the home at the end of the temporary period; and

3. the absence is not for a reason listed in passage 1430.0805.

If the temporary absence is due to out of home residential care, refer to passage 1430.0808 for the absence period allowed.

If the temporary absence is due to residence in public institutions or institutions for mental diseases (IMDs), please refer to passage 1430.1103.

Note: The parent or relative's statement concerning how the above conditions will be met during the period of absence is usually sufficient. When questioned, the eligibility specialist will secure additional facts from the individual with whom the child will live during the absence. 1430.0808 Children Who Remain Hospitalized (MFAM) The parent’s or other caretaker relative’s ability to derive eligibility from a child who remain hospitalized following delivery for medical care and do not immediately return to the home for this reason can be Medicaid eligible if other criteria for temporary absence are met. 1430.1000 PREGNANCY (MFAM) Medicaid is provided to pregnant women whose household income is at or below the applicable income standard. Self attestation of pregnancy is acceptable, including the number of unborns when multiple births are anticipated. 1430.1100 LIVING ARRANGEMENTS (MFAM) This section describes policies relating to eligibility and living arrangements. 1430.1103 Residents of Public Institutions/IMDs (MFAM) Individuals residing in public institutions or institutions for mental diseases (IMDs) throughout an entire calendar month are eligible to receive Medicaid, however, their coverage will be suspended. This includes inmates, prisoners, detainees, or convicts under detention or custody of a Federal, State, or local penal, correctional, or other detention facility or institution.

An institution is an establishment that furnishes food, shelter, and some treatment or services to four or more persons unrelated to the proprietor. A public institution is administrated by a governmental unit. Public institutions exist at all levels: federal, state, and local.

An IMD is an institution that is primarily engaged in providing diagnosis, treatment or care of persons with mental diseases, including medical attention, nursing care and related services.