Procedures

The Medicaid application process begins with a request for assistance and ends with notification to the AU of the eligibility decision. Refer to Section 2050 - Application Processing Overview for additional information.

A Continuing Medicaid Determination (CMD) is required before denying a Medicaid application or terminating Medicaid under the current COA. A CMD is the determination of Medicaid eligibility under all COA’s. Refer to Section 2050 - Application Processing Overview and Section 2700 - Case Management Overview for additional information.

At application and renewal, contact the A/R to inquire if any AU member is pregnant. If an AU member is pregnant, Gateway will send a follow-up contact with the pregnant woman during the month prior to the Estimated Delivery Date (EDD).