(b) Retroactive Non-Spend-Down Eligibility
Certification begins on the first day of the earliest month of the retroactive period under consideration in which coverable medical expenses were incurred. Certification ends on the last day of the most recent month in the retroactive period in which coverable medical expenses were incurred. Only persons who have coverable medical expenses during the period under consideration may be certified. Certification under this provision may cover only those incurred medical expenses that are not subject to third party payment and remain the liability of persons in the assistance unit or non-unit persons whose income and resources are considered.
Certification for retroactive eligibility is limited to those months in the period under consideration in which medical expenses are coverable by the Medial Assistance Program was incurred. Further, only those persons in the assistance unit who have expense which are coverable by the Program may be certified for retroactive coverage. If several members of the assistance unit have coverable medical expenses in different months of the retroactive period, the same certification period applies to all. In this instance, the certification period would begin in the earlier month and end in the most recent month of the consideration period in which only member of the assistance unit had a coverable expense.
