601.08 Full Determination after PE Period

(Rev. 02/01/2015)

When a full determination is completed for a PE case, retroactive coverage can be given for up to three months from the date of the full application. To apply for full benefits, an applicant must complete FM 3400, Healthy Connections Application. The review date will be based on the date the full application is received, not the date of the presumptive eligibility application. Refer to MPPM Section 100 on more information about the full application process.

For example, if an applicant completes a PE application on January 15, 2014, and completes the full application on February 3, 2014, retroactive coverage can be given for up to three months prior to the full application date. In this case, the applicant can receive retroactive coverage for January, December, and November.

When a full application is created and outstanding verifications are needed, a checklist will be mailed to the applicant. If the verification is not returned within 45 days from the day the full application was submitted, then the application will be denied.