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requests an extension to his temporary premium waiver. Because he has an approved nine month waiver and the maximum time a waiver can be granted for the same hardship reason is 12 months, the IM worker can only approve an additional three months to extend the waiver. This page last updated in Release Number: 26-01 Release Date: 02/13/2026 Effective Date: 02/01/2026 26.6 Opting Out If a MAPP member chooses to de-request MAPP coverage, or opt out, any time prior to the beginning of the next benefit month, MAPP eligibility will end the next possible month. A MAPP applicant’s decision to opt out does not affect other family members' eligibility for Medicaid or Medicaid-related programs. This page last updated in Release Number: 25-04 Release Date: 12/10/2025 Effective Date: 12/10/2025 26.7 MAPP Changes 26.7.1 MAPP Changes Introduction The member must report within ten days all changes to income, household composition, allowable deductions, including medical and remedial expenses that were once out of pocket but are covered once the applicant is a MAPP member, and other non-financial changes, including loss of employment, which affect eligibility. When a change in circumstance is reported, current health care benefits must be maintained while eligibility is being redetermined. Example 1 Nancy does not have health insurance and currently pays $550 a month for a variety of medical/remedial expenses. She applies for MAPP and is found eligible as of December 1. Once she is eligible, MAPP will cover some of her medical/remedial expenses and reduce her out of pocket medical/remedial expenses down to $50 a month in December. Because Nancy must wait until the end of December to determine the final decrease in her monthly out of pocket expenses, she must report this decrease no later than January 10th. 26.7.2 Premium Changes Following a change, if it is determined a member has a new or increased premium, implement the premium change as of the following effective date: • Eligibility redetermined before adverse action: Effective the first of the following month. • Eligibility redetermined after adverse action: Effective the first of the month after the following month. The effective date of a change that results in a reduced premium or no premium is the month of change or the month of report, whichever is later. Premium decreases must be reviewed, and eligibility redetermined when applicable, when coverage was maintained following a reported change or a timely renewal. Once eligibility is able to be redetermined, premium amounts for months with coverage maintained may need to be reduced or refunded. See SECTION 26.5.4.3 EXCESS PAYMENTS, Process Help Section 12.17.2.4 Change Processing, and Process Help Section 12.17.3.4 Changes in Premiums and Refunds.