Full Medicaid Determination
An Applicant/Recipient (A/R) approved for this COA is entitled to the full range of Medical Assistance covered services. Eligibility for coverage ends when the A/R’s course of treatment is completed or the member no longer meets eligibility requirements (for example, the member has attained the age of 65 or obtained creditable health coverage or the member becomes eligible under another Medical Assistance COA or over the 200% FPL).
Full eligibility determination begins the month of application if the member meets all eligibility criteria. Retroactive Medical Assistance is available provided the A/R has an affirmative diagnosis of breast or cervical cancer or precancer and meets all other eligibility criteria in the prior month(s) requested.Refer to Section 2053 - Retroactive Medicaid for additional information.