2651 Continuous Eligibility (CE) Period

Continuous Eligibility begins with the first month of eligibility (see 2650 above) in the current review period and continues regardless of any changes in income or income. Such eligibility shall continue unless one of the following circumstances occurs:

The child turns age 19;

An individual no longer meets residency requirements;

The child dies;

There is a voluntary request for case closure (i.e., voluntary withdrawal);

The child is later found to have not been initially eligible due to agency error or fraud.

A recipient on a MAGI program (Medicaid or CHIP) becomes eligible for a non-MAGI program such as HCBS or SSI (including eligibility under the protected class, see MKEESM 2639 ), Foster Care Medical (FCM), or Adoption Support Medical (ASM) coverage.

In any of the above situations, coverage shall be terminated with the month the circumstances occur or a following month allowing for timely and adequate notice. Continuous eligibility can be reestablished if there is less than a calendar month break in assistance. Otherwise, a new application would be required for the child to qualify again.

NOTE : CE does not automatically end for recipients or applicants in an incarcerated status (i.e., individuals who become residents of a jail or prison). For eligibility rules related to incarceration, see 8111.1 (3) and KFMAM 2052.05 for Medicaid minors.