Unverified Pregnancy

When a recipient loses MEPD eligibility, and pregnancy information is received through an interface, the woman is automatically certified for TP 40 with postponed verification and Form H1020 , Request for Information or Action is sent. If verification is provided, the woman is eligible for TP 40 coverage through her pregnancy and postpartum period. If verification is not provided, or shows the woman does not meet eligibility requirements, TP 40 coverage is terminated unless the woman is under 19 years old.

Children Under 19

If pregnancy verification is not provided by the 30 th day, TP 40 coverage is terminated and the MEPD type of assistance is re-established based on continuous eligibility for children under 19 policy.

If a child who is certified on CHIP during their pregnancy or postpartum period becomes eligible for SSI, MEPD Facility, or MEPD Non-Facility TOA, the CHIP coverage is terminated to allow the transition to SSI, MEPD Facility, or MEPD Non-Facility TOA. The household will receive a denial notice showing the child is not eligible for CHIP for the remainder of their pregnancy and 12-month postpartum period because they are eligible for Medicaid.