Suspension
Suspend Medicaid within two business days of receiving a report of confinement from a county jail for the following types of assistance (TOAs):
TA 10, ME – Waivers
TA 88, ME – Medicaid Buy-In for Children
TP 03, ME – Pickle
TP 14, ME – Community Attendant Services
TP 18, ME – Disabled Adult Child
TP 21, ME – Disabled Widow(er)
TP 22, ME – Early Aged Widow(er)
TP 23, MC – SLMB
TP 24, MC – QMB
TP 26, MC – QI-1
The suspension is effective the day after the report of confinement is received.
Provide a new reasonable opportunity period to submit documentation of citizenship or alien status if a person’s original reasonable opportunity period expires during the suspension period. The new reasonable opportunity period is the earlier of:
95 days from the date the reinstatement is disposed; or
the last day of their current certification period.
Keep the original reasonable opportunity period if the person’s Medicaid coverage is reinstated before the reasonable opportunity period end date.
The TF0001, Notice of Case Action, generated at reinstatement will include the reasonable opportunity information to remind the person to submit documentation of citizenship or alien status.
Note: For couple cases, suspend Medicaid for the incarcerated person only. The spouse may continue to receive benefits, if eligible.