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• FOSTER CHILD: When a child who was placed in foster care returns to the home, add him/her to the filing and assistance units the month after foster care Medicaid closes. RECEIVING MEDICAID IN ANOTHER STATE: If a new household member moves to Montana from another state and was receiving Medicaid in the previous state of residence, the eligibility case manager must ensure that Medicaid has been closed in the previous state of residence before opening Montana Medicaid. Medicaid can only overlap for a one-month period when a person moves to Montana and was receiving Medicaid in another state. It is against federal policy to allow an individual to receive Medicaid in more than one state for the same month, with the exception of the one-month overlap that is allowed for administrative purposes. REFUSAL TO COOPERATE: If an individual refuses to cooperate in meeting eligibility requirements, Medicaid for the individual will not begin until the month the requirement is actually met. HEALTHY MONTANA KIDS: When a new child is added to the household, the child is enrolled after proof of the following is provided: 1. Citizenship; and 2. Identity When HMK coverage is requested for a child joining a family with at least one currently enrolled child, the enrollment date for the new household member is the first day of the month or the following month if eligible. A new eligibility determination is not required when a new family member joins the household so long as at least one other child is currently enrolled in HMK. PERSON WHO LEAVES HOUSEHOLD APPLIES for BENEFITS: An individual cannot receive Medicaid in more than one case/household in any month. However, when a child leaves one specified caretaker relative’s home and moves to another specified caretaker relative’s home who subsequently applies for Medicaid, the 2nd relative may receive Medicaid because the eligible child is now living with them, but the child would not because they already received Medicaid that month with relative #1. NOTE: Relative #1 cannot continue to receive benefits if the child was the only eligible child living with them. Timely notice of adverse action must be given. REFERRAL TO FFM: If any household member loses eligibility for all Medicaid and HMK programs, they must be referred to the FFM for determination of eligibility under other insurance affordability programs. The system will automatically send an electronic referral to the FFM. SEE BUSINESS PROCESS: Adding Household Members to an Open Case SEE REFRESHER TRAINING: Course: Adding a Newborn (dphhselearn.org)