Page 16

Official source

parent/caretaker relationships, Medicaid must stay open with no breaks unless there is some known eligibility factor which makes the member fail.

If the new address for the member who leaves the case is unknown, the worker should send a request for information to the last known address. If attempts to learn the new address are not successful, the member may be closed with appropriate notice to the last known address; but if they later contact the office the closure should be rescinded if the time when the member’s next annual redetermination (after the residency change) will have been due has not passed.1 (also see 2238.06.00)

2232.00.00 TIMELY NOTICE OF ADVERSE ACTION

Recipients must be given timely, advance written notice of any adverse action. In most circumstances, "timely" is 10 days (plus 3 for mailing) before the date the action is effective. The 3-day mailing period starts the day after the notice is mailed. The Medicaid program has provisions which allow for exceptions to the 10 day (plus 3 for mailing) timely notice period1. The following sections explain the MED timely notice exceptions.

Workers should carefully review the reason code/s displayed. It must be appropriate to the category and/or action. It is necessary that the reason code is carefully reviewed so that the notice will correctly reflect the reason benefits are terminating.

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Page 16

Official source

parent/caretaker relationships, Medicaid must stay open with no breaks unless there is some known eligibility factor which makes the member fail.

If the new address for the member who leaves the case is unknown, the worker should send a request for information to the last known address. If attempts to learn the new address are not successful, the member may be closed with appropriate notice to the last known address; but if they later contact the office the closure should be rescinded if the time when the member’s next annual redetermination (after the residency change) will have been due has not passed.1 (also see 2238.06.00)

2232.00.00 TIMELY NOTICE OF ADVERSE ACTION

Recipients must be given timely, advance written notice of any adverse action. In most circumstances, "timely" is 10 days (plus 3 for mailing) before the date the action is effective. The 3-day mailing period starts the day after the notice is mailed. The Medicaid program has provisions which allow for exceptions to the 10 day (plus 3 for mailing) timely notice period1. The following sections explain the MED timely notice exceptions.

Workers should carefully review the reason code/s displayed. It must be appropriate to the category and/or action. It is necessary that the reason code is carefully reviewed so that the notice will correctly reflect the reason benefits are terminating.