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UPDATED: JANUARY 2012

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OTHER ELIGIBILITY REQUIREMENTS APPLICATION, CERTIFICATION AND RENEWAL

RENEWAL

If the renewal form is returned by the USPS with a forwarding address label that is within the district, the renewal form must be re-sent to this address. If the form is not returned as undeliverable, coverage must be re-authorized for another 12 month period, not to exceed the child’s 21st birthday.

If the renewal form is returned by the USPS with a forwarding address label that is outside the district, the renewal form must be resent to the address provided by the USPS. If the renewal is returned by the child confirming the address, the case should be renewed for a 12-month period and then transferred in accordance with 08 OHIP/LCM-1. If the child has moved out of New York State or is deceased, the case may be closed.

SSI cash recipients Individuals who receive Medicaid based on their eligibility for SSI are renewed (recertified) for Medicaid by virtue of their renewal (recertification) for SSI cash. SSI cash recipients need not be reauthorized yearly. Their authorization will be open-ended until December 31, 2049. Local districts use the SDX to confirm that an cash SSI recipient continues to be eligible for SSI and, therefore, Medicaid.

References: SSL Sect. 366

366-a

366-a (2)

366-a (5) (d)

369-ee (2)

Chapter 58 of the Laws of 2010

Dept. Reg. 360.1

360-2.2(e)

360-6.2

ADMs 11 OHIP/ADM-1

11 OHIP/ADM-9

09 OHIP/ADM-1

08 OHIP/ADM-4

04 OMM/ADM-6

03 OMM/ADM-2

(MRG)