Page 70

Effective Date:

Approval Date: 70

Helpful Hints:

If a case goes over income because of a lump sum period of proration, but the children would otherwise be Medicaid eligible, note in the comments section of the referral form that there is a lump sum, how much it is, and when the period of proration ends.

If a child is voluntarily excluded from Medicaid because of the child‟s income, refer the child to hawk-i. Note in the upper right corner of the back page of the referral that the child is excluded and include their income information.

Do not refer children to hawk-i if the child has been voluntarily excluded from Medicaid for reasons other than the child‟s income.

Do not refer children to hawk-i when the reason they are not eligible for Medicaid is due to non-cooperation (e.g. failure to return review forms, failure to provide verification, etc.).

Self-employment: hawk-i allows a deduction for depreciation of capital assets for self- employment while Medicaid does not. In this situation, include the appropriate Schedule C or F when making the referral.

Unemployment: Medicaid looks at unemployment as a weekly benefit. hawk-i looks at the maximum benefit the person can receive and uses it to project income for the 12- month enrollment period. Include the DBRO screen front page (from IWD system) when referring these cases to hawk-i. Indicate in the comments section if there is any other unearned income on the NOD so it gets used.

When you make a referral and give the family a hawk-i brochure for informational purposes, take the application out of the brochure so they don‟t think they have to apply separately. This will help avoid duplicate applications being filed.

hawk-i Customer Service: 1-800-257-8563 (TDD: 1-888-422-2319) www.hawk-i.org