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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |476 Effective Month: December 2016

EARLY TERMINATION REASONS FOR CHILDREN (Continued)

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 an inmate in a public institution, his eligibility must be terminated. • 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 these additional reasons:

• The CHIP-eligible child becomes covered by other full health insurance;

• The CHIP-eligible child becomes eligible in the 88 program due to pregnancy. NOTE: If the pregnant minor’s post-partum period in COE-088 ends prior to the end of her assigned 12 months of continuous eligibility, she will be automatically transferred back to CHIP the month following the end of her post-partum period.