400.15.02B EXTENDED MEDICAID FOR 4-MONTHS FOR INCREASED SPOUSAL SUPPORT

Prior to the ACA, the 4-month extension included an increase in child support and/or spousal support. Since child support is no longer a countable type of income for MAGI, the current 4-month extension of Medicaid is limited to new or increased spousal support that causes the parent or caretaker relative (and their spouses, as appropriate) to no longer qualify for COE-075 eligibility. If new or increased spousal support causes ineligibility for the parent(s) or caretaker relative(s) covered in COE-075, and the parent(s) or caretaker relative(s) correctly received Medicaid in at least 3 of the last 6 months prior to the month ineligibility began, the parent(s) or caretaker relative(s) are entitled to extended Medicaid for 4- consecutive months beginning with the month after the month of ineligibility. The 4-month extended Medicaid period functions the same as the 12-month extended period. When receipt of the new or increased spousal support is reported, document the case with the 4-month period and select spousal support as the reason for Extended Medicaid when processing the case in MEDS. MEDS will allow eligibility to continue until the 5th month.