Procedures

Follow the steps below to determine Medical Assistance using the ELE application process:

Step 1 Accept SNAP, TANF, CC, WIC, or RCA application/renewal/change request for children under 19 years of age submitted through Gateway Customer Portal or other acceptable application/renewal forms. Step 2 Determine ELE eligibility for CU19 or PCK based on the information collected at SNAP, TANF, CC, WIC, or RCA application/renewal/change including household size, residency, income, and citizenship. Children must meet Medical Assistance citizenship requirements Step 3 Approve the case using the appropriate COA (CU19/PCK) if the applicant meets all eligibility criteria. If the child’s Medical Assistance eligibility cannot be determined based on the processes used for ELE (e.g., the child is over income for PCK using the express lane agency’s income finding), a full eligibility determination must be conducted using the regular Medical Assistance processes. The income findings from the express lane agency should not be used, and income eligibility should be determined using Medical Assistance policies and procedures. A full determination follows the regular MAGI eligibility determination process. Step 4 Notify the AU of the eligibility determination.