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issue is verified coverage, not merely access. If a child has health insurance, the MA 10 eligibility determination must pend for verification of the insurance benefit types. Dropping health insurance coverage: • The state may no longer impose a waiting period following the loss of health insurance for CHIP applicants.92 Children whose health insurance coverage has been dropped voluntarily may receive MA 10 without a waiting period. The application asks for information concerning the reason for the termination of coverage. If "could not afford" is indicated as the reason, the insurance is considered to have been terminated voluntarily, however the child is not subject to the 90-day waiting period. Termination of insurance due to loss of employment (even if the loss was due to a voluntary quit) does not affect the child's eligibility for MA 10.

The following reasons for health insurance being dropped will not cause CHIP coverage to be subject to a 90-day waiting period:

• Loss of employment • Coverage limit reached • Non-custodial parent dropped insurance coverage • Divorce/death of parent • Employer ended insurance coverage • Insurance premium is more than 5 percent of the family income for the child’s coverage • Cost of family insurance coverage is more than 9.5 percent of family income • Child has special health care needs • Withdrawing from FFM Coverage because now eligible for Medicaid or CHIP (must present verification/letter that FFM coverage has ended; cannot have dual coverage) • Could not afford

Note: Effective 6/1/24 per CMS guidance the 90-day waiting for period for “any” reason was eliminated.93 The eligibility system will disenable dropdown options pertaining to recently lost coverage.

2434.00.00 ASSIGNMENT OF MEDICAL RIGHTS As of July 1, 2011, in support of P.L.153-2011, the assignment of medical rights became operational by State law. This means that no separately executed assignment of rights is required for Medicaid eligibility.