2664.6 Ongoing Eligibility

When Working Healthy coverage ends, medical eligibility must be considered under other Medicaid coverage groups. Persons with accumulated resources may not be eligible for continuing coverage. The following action shall apply:

Working Healthy to Independent Living - For spenddown cases, the 6-months period begins the month following the month Working Healthy ends.

Working Healthy to HCBS - HCBS budgeting begins the month HCBS begins. Any applicable HCBS obligation is also determined. Working Healthy premiums paid or owed in the month HCBS begins are allowed against the obligation. If the entire premium obligation cannot be accounted for in the initial month, the bill may be allowed over multiple months until the entire obligation is accounted for.

Working Healthy to LTC - LTC budgeting begins the month following the month of entrance unless Spousal Impoverishment provisions apply. Any premium amount must be paid in full the month the arrangements begin.