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If verification is received timely, eligibility is redetermined, if the household remains eligible, benefits are authorized. Unless an ex parte review indicates potential coverage under another health coverage program, Medicaid for adults and/or HMK is closed without verification when the reported change will close current coverage (children’s Medicaid will remain open throughout their span). If it is unclear whether or not the reported change will close current Medicaid coverage, verification is requested to ensure eligibility is correctly determined. If necessary verification is not received by the due date, and ongoing eligibility cannot be determined, Medicaid is closed with timely notice. If verification is received after the due date, but within the administrative month, redetermine eligibility and reopen and issue Medicaid, if appropriate. WITH VERIFICATION: When verification is received with the reported change, redetermine eligibility within 30 days.

Effective Date: 7/1/2026