ABD and Family Medicaid

Follow the steps below to complete a CMD for an ABD or Family Medicaid denial or termination:

Step 1 Consider eligibility under all COAs (both ABD and Family Medicaid) prior to denial or termination of Medicaid. Step 2 Approve Medicaid under the COA that will provide the most medical coverage if the A/R meets all eligibility requirements for the COA. Step 3 Deny or terminate Medicaid if the A/R does not meet the requirements for any Medicaid COA. Step 4 Notify the A/R of his/her Medicaid eligibility as follows: Send adequate notice when completing the CMD on an application or changing COAs for a current Medicaid recipient Send timely notice if the CMD results in termination of Medicaid eligibility or the reduction of Medicaid benefits for a current recipient.

When completing CMD from Parent/Caretaker to TMA or 4MEX, timely notice is required.