Page 6

MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI MAGI B-140 MAGI MEDICAL CATEGORIES Division of Welfare and Supportive Services Medical Assistance Manual 24 Apr 02 MTL 03/24 EMERGENCY MEDICAID MAGI c. not entitled to or enrolled in Medicare benefits under Part A or B; and d. not otherwise eligible for medical coverage in any other group; and e. members of a household that has income that is at or below 138% FPL for the applicable family size. B-130 TRANSITIONAL MEDICAID COVERAGE (1925, 435.112) Extended Medicaid coverage is provided to parents or other caretaker relatives who were eligible and approved under the AM aid code in at least 3 out of the 6 months immediately preceding the month that eligibility is lost due to increased income from employment. Households with parents or other caretaker relatives who are eligible under aid codes other than AM, such as AM1, CH/P, CA, etc., do not initiate transitional Medicaid. The agency must continue to provide transitional Medicaid for 12 months to all members of the household. The 12-calendar month period begins the month after AM eligibility for the parent/caretaker is terminated. Transitional Medicaid continues for 12 months regardless of changes in income. Note: Prior to approving Transitional Medicaid, if information is received by the agency which indicates a household was incorrectly determined eligible for AM, the household would be ineligible for Transitional Medicaid. Re-evaluate the Medicaid case for any other possible category before terminating assistance, allowing for adverse. A referral to Investigations & Recovery would be needed for any potential Medicaid overpayments. If Transitional Medicaid is already approved and there is no adverse to stop the initial month of Transitional Medicaid, the household cannot be terminated from Transitional Medicaid unless it meets one of the failure reasons listed below. Transitional Medicaid will only terminate if: a. The assistance unit ceases to include a child. Terminate the Transitional Medicaid case, allowing for adverse, in the first month after the child is no longer residing in the home. Evaluate the assistance unit members for other applicable medical categories. b. The household moves out of state. c. Non-cooperation with Third-Party Liability (TPL). For more information see MAM C-600 & C- 610.1.