Initial Six-Month Extension

Follow the steps below to establish the initial six-month TMA extension.

Step 1 Establish that the AU is financially ineligible for Medicaid based exclusively from a TMA-qualifying event. All income must be verified. Refer to Section 2051 - Verification . Step 2 Establish that the AU correctly received Medicaid in three of the six months preceding the first month of Medicaid ineligibility. Refer to Section 2162 - Parent/Caretaker with Child(ren) Medicaid . Step 3 Determine the last month of Parent/Caretaker with Child(ren) Medicaid, based on the date of the change, date the caseworker took action and the expiration of timely notice. All MAGI income must be verified. Refer to Section 2051 - Verification . Step 4 Notify the AU of the following: termination of Parent/Caretaker with Child(ren) Medicaid eligibility approval of the initial six months of TMA reporting requirements of continued TMA eligibility Step 5 Mail Form 328 - Quarterly Report Form (QRF) by the 15 th of the third month of TMA. The QRF must request the AU’s actual MAGI income for the first three months of TMA. Refer to Section 2051 - Verification . Step 6 Use Chart 2166.1, Processing QRF Due in the Fourth Month of TMA , to process the QRF or information received, or to determine the appropriate action to be taken if QRF reporting requirements are not met.

All MAGI income reported on the QRF must be verified. Refer to Section 2051 - Verification .