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COMAR 10.09.24.03

323 State of Maryland Medical Assistance Manual Revised July 2012 COMAR 07.02.11 specifies age limitations for services under the Out-of-Home Placement Program of the Department of Human Resources. The same age limitations apply for MA eligibility for children in OHP. Regardless of the circumstances, no one aged 21 or older should remain in the E-track, due to MA eligibility age restrictions for the E-track. The MA CM must consult with the service worker about the child‟s OHP eligibility and manually set a “745” Alert for 90 days prior to when the recipient will “age-out” of eligibility for OHP before the child turns age 21.

On the ALWG screen (Create Worker-Generated Alert), enter all the necessary information to set a “745” alert. In the “Display Date” field, enter the date 90 days prior to the first day of the month in which the client turns 21 years old. In the “Due Date” field, enter the month, day, and year in which the child turns 21 years old. The MA certification period must be adjusted by the MA CM so an unscheduled redetermination is initiated by CARES. Follow the steps outlined in this section for all E-track redeterminations. If the recipient will be at least 21 years old at the end of OHP eligibility, the recipient‟s MA eligibility must be redetermined for the appropriate adult category (e.g. blind or disabled adult, parent or caretaker relative of a minor child). CARES will generate an “age alert” one month before the child turns 21. NOTE: ALL CASE ACTIVITIES MUST BE FULLY NARRATED IN CARES. (e) Refugees (G-Track) Aliens who are classified as refugees, asylees, or victims of severe trafficking may be covered for MA services in the G-Track for at most eight months after either their month of U.S entry as a refugee or their effective month of asylum or victim of severe trafficking status. Who are Refugees, Asylees, or victims of severe trafficking? Refugees are persons granted protective status while abroad. Typically, they have been forced to flee their homeland and are unable to return. Asylees are persons granted protective status after entering the United States as defined by the Immigration and Naturalization Service (INS). Victims of severe trafficking means sex trafficking in which a commercial sex act is induced by force, fraud, or coercion, or in which the person induced to perform such act has not attained 18 years of age; or the recruitment, harboring, transportation, provision, or obtaining of a person for labor or services, through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery.

Protection is granted only to those who have a well founded fear of being persecuted on any of the following ways: