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MRG UPDATED: NOVEMBER 2007 85 CATEGORICAL FACTORS MEDICAID EXTENSIONS/CONTINUATIONS (14) A refugee or a Cuban-Haitian entrant eligible under the Refugee Assistance Program (RAP) who becomes ineligible as a result of increased earnings from employment remains Medicaid eligible for the duration of the RAP eligibility period (currently eight (8) months from the date of entry into the United States). (See OTHER ELIGIBLITY REQUIREMENTS STATE AND FEDERAL CHARGES REFUGEES AND CUBAN-HAITIAN ENTRANTS) (15) Children under the age of 19 are guaranteed coverage for up to 12 months. Each time eligibility is determined, (i.e., at initial determination, and at every recertification or redetermination), children up to the age of 19 who are found fully eligible for Medicaid will be provided coverage for 12 months from the date of the determination or redetermination or until their 19th birthday, whichever is sooner, regardless of any changes in income or circumstances. This also applies to children in families who are in Public Assistance cases and receiving Medicaid. It does not apply to children whose immigration status entitles them only to coverage for emergency medical treatment, to children eligible with a spenddown; or to children only eligible using the SSI-related budgeting methodology. IV-E Foster Care children are also eligible for continuous coverage, including children in the custody of the Office of Children and Family Services (OCFS) in IV-E eligible settings. Medicaid for all children in Foster Care should be authorized for 12 months from the initial determination, or 12 months from re- determination. State regulations require that Services review Foster Care cases every 6 months. Medicaid should be re- authorized for 12 months each time a Service case is re- determined and eligibility is confirmed. (16) An individual enrolled in a Managed Care Organization (MCO) is guaranteed six months of Medicaid coverage for the capitated benefits offered through the MCO even if he or she loses Medicaid eligibility. The six-month period of eligibility starts on the recipient’s effective date of enrollment in an MCO and continues through the end of the sixth month. Enrollees who are no longer Medicaid eligible and are in guaranteed eligibility status receive pharmacy services through the fee-for- services program and family planning services through free