101.10.01 BEGINNING DATES OF MEDICAID ELIGIBILITY

Medicaid applicants, including an applicant who dies prior to filing an application or dies prior to completion of the application process, may qualify for Medicaid on one of the following dates: • The first day of the month of the application, provided all eligibility factors are met for the first day of the month. • The first day of the month after the month of application in which all eligibility factors are met. • The first day of the first, second or third month prior to the month of application when conditions are met for retroactive Medicaid. • The first day of the month following the month of approval for QMB-only (Qualified Medicare Beneficiary) eligibility. There is no retroactive Medicaid possible for a QMB-only. • The Hospital Presumptive Eligibility (HPE) beginning date of eligibility is the date the HPE application is approved by authorized hospital staff. • Presumptive eligibility for pregnant women (PEP) beginning date of eligibility is the date the PEP application is approved by provider/entity staff.