101.14.01 EARLY TERMINATION REASONS FOR CHILDREN

The following reasons may shorten the 12-month certification for a child in MAGI-related or ABD programs, as applicable. • If a child dies, his eligibility must be terminated. • If a child moves out of the state, his eligibility must be terminated. • If a child attains the maximum age for his program and an assessment of continued eligibility indicates the child is not eligible in any other MAGI-related or ABD program, his eligibility must be terminated. Refer to “Ex parte Reviews” later in this chapter for further discussion on assessing eligibility in another program. o When a child in the Katie Beckett Program will age out of this program, continued eligibility must be assessed in another program. o When a MAGI-related child turning age 19 is pregnant, the child will remain in her current coverage through her post-partum period if the pregnancy information is verified and coded in the system. o At review, an assessment of eligibility in other age-related MAGI categories is automated in the system. For example, an uninsured child turning age 6 in COE-072 during the new 12- month eligibility period will move to either COE-073, 074 or CHIP the month following his/her 6th birthday. • When the basis of a child’s eligibility is long term care, eligibility must be terminated if the child is discharged from the facility. • If a child becomes eligible for Medicaid through SSI or Foster Care, coverage authorized through the Medicaid Regional Office will be terminated because the child must have only one source of eligibility. (NOTE: If the child becomes eligible in another program authorized by the RO, termination in the current program must be coordinated with the opening in the new program.) • If a child is approved in error, his eligibility must be terminated. • If a child cannot be located after reasonable efforts, his eligibility must be terminated. • If there is a voluntary request for closure, eligibility must be terminated. In addition to the above termination reasons, CHIP eligibility will also be terminated within the 12-month period for this additional reason: • The CHIP-eligible child becomes eligible in the 88-program due to pregnancy The child will remain in COE 88 and will be reviewed at the end of the post-partum period. • The CHIP-eligible child becomes eligible for Medicaid. Other changes for children under age 19 in a child or family-related category of eligibility do not affect the child’s eligibility prior to the end of the 12 months of continuous eligibility.