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UPDATED: NOVEMBER 2009
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OTHER ELIGIBILITY REQUIREMENTS
MAINTAINING MEDICAID ELIGIBILITY FOR INCARCERATED INDIVIDUALS
completed and a determination of ongoing eligibility is made pursuant to 08 OHIP/LCM-1,”Continued Medicaid Eligibility for Recipients Who Change Residency (Luberto v. Daines)”.
The LDSS where the former inmate had coverage immediately prior to the incarceration must issue the mail-in renewal packet to the former inmate at the address on WMS. For recipients who have been released from a New York State Department of Correctional Services (NYS DOCS) facility to the community without supervision, the address listed on WMS will be a NYS DOCS facility. If the recipient has not contacted the LDSS with an updated address, the mail-in renewal packet must be mailed to the former inmate at NYS DOCS facility address found on WMS.
Released to the Community With Parole Supervision
The address of parolees released from a NYS DOCS facility will automatically be posted to WMS as that of his/her parole officer. If a parolee informs the LDSS of a change of address, the LDSS may record the address change in the case record but must not update the recipient’s address on WMS or transfer the case (if there is an out of county move) until the five-month reinstatement period has expired, the renewal process has been completed and the recipient is determined to be eligible.
The LDSS where the former inmate had coverage immediately prior to the incarceration must issue the mail-in renewal packet to the former inmate at the address of his/her Parole Officer listed on WMS. Such Parole Officer will provide the mail-in renewal packet to the parolee as soon as possible.
Mail-In Renewal Returned to District With Out-of County Address
In cases where the mail-in renewal is returned to the district with an out-of-county address, the district must determine ongoing eligibility for the former inmate, and if eligible, the district will authorize coverage for the usual 12 month period. Once coverage has been authorized, the district may transfer the case to the new district of residence pursuant to procedures outlined in 08 OHIP/LCM-1.
If the district determines the individual is ineligible for Medicaid or FHPlus as a result of the renewal the coverage shall be discontinued with appropriate notice.
(MRG)