Continuous Medicaid Eligibility

Official source

Children under 19 receive 12 months of continuous Medicaid eligibility. Coverage is continuous, regardless of changes, unless the child:

turns 19;

moves out of state;

dies;

requests a voluntary withdrawal; or

was invalidly enrolled due to certification in error, or an Office of Inspector General determination of fraud, abuse or perjury.

Do not terminate a child’s eligibility when a change is reported or an agency-generated change is received during the 12-month continuous eligibility period, unless the change is reporting one of the exceptions to continuous coverage listed above. Document the change and address it at the next annual redetermination.

Take action to update the case record if a change of address or a change in contact information is reported during the 12-month continuous eligibility period.

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Continuous Medicaid Eligibility

Official source

Children under 19 receive 12 months of continuous Medicaid eligibility. Coverage is continuous, regardless of changes, unless the child:

turns 19;

moves out of state;

dies;

requests a voluntary withdrawal; or

was invalidly enrolled due to certification in error, or an Office of Inspector General determination of fraud, abuse or perjury.

Do not terminate a child’s eligibility when a change is reported or an agency-generated change is received during the 12-month continuous eligibility period, unless the change is reporting one of the exceptions to continuous coverage listed above. Document the change and address it at the next annual redetermination.

Take action to update the case record if a change of address or a change in contact information is reported during the 12-month continuous eligibility period.