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MRG UPDATED: JANUARY 2012 98.1 CATEGORICAL FACTORS MEDICAID EXTENSIONS/CONTINUATIONS TRANSITIONAL MEDICAID (TMA) in an employer-sponsored health insurance plan, the local district must offer to pay the recipient's health insurance contribution to the premium, if the policy is determined to be cost effective, Before the end of a household’s 12-month TMA authorization period, the full renewal process is completed to determine eligibility for continued Medicaid, FHPlus or FPBP coverage.