Periods of Eligibility

Official source

Approve Medical Assistance and continue eligibility as long as the AU continues to meet the requirements of the COA under which eligibility was approved. A Continuing Medicaid Determination (CMD) must be completed prior to denial or termination of any Medical Assistance COA. Refer to Section 2052 - Continuing Medicaid Determination .

Certain COAs are time-limited. Refer to Chapter 2100 - Classes of Assistance .

Chart 2065.1 - Family Medical Assistance Form Requirements

* Form 216 - Declaration of Citizenship/Immigration status is not required if the A/R has declared their citizenship or immigrations status on the eligibility application (94, 94A , 297 , 508 , 700 , Gateway Medical Assistance Online application, or GA Access application) and signed application under penalty of perjury. Also, declaration of citizenship/immigration/identity is not required if the A/R is determined under EMA procedures. Refer to Section 2215 - Citizenship/Immigration/Identity . * * Form 138, Notice of Requirement to Cooperate and Right to Claim Good Cause for Refusal to Cooperate in Child Support Services is not required if the application or renewal is via Gateway or 94A as the 138’s language is included in both. Refer to Section 2250 - Cooperation with Division of Child Support Services .

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Periods of Eligibility

Official source

Approve Medical Assistance and continue eligibility as long as the AU continues to meet the requirements of the COA under which eligibility was approved. A Continuing Medicaid Determination (CMD) must be completed prior to denial or termination of any Medical Assistance COA. Refer to Section 2052 - Continuing Medicaid Determination .

Certain COAs are time-limited. Refer to Chapter 2100 - Classes of Assistance .

Chart 2065.1 - Family Medical Assistance Form Requirements

* Form 216 - Declaration of Citizenship/Immigration status is not required if the A/R has declared their citizenship or immigrations status on the eligibility application (94, 94A , 297 , 508 , 700 , Gateway Medical Assistance Online application, or GA Access application) and signed application under penalty of perjury. Also, declaration of citizenship/immigration/identity is not required if the A/R is determined under EMA procedures. Refer to Section 2215 - Citizenship/Immigration/Identity . * * Form 138, Notice of Requirement to Cooperate and Right to Claim Good Cause for Refusal to Cooperate in Child Support Services is not required if the application or renewal is via Gateway or 94A as the 138’s language is included in both. Refer to Section 2250 - Cooperation with Division of Child Support Services .