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who leaves the IMD on Convalescent Leave remains eligible as an IMD resident until he or she is unconditionally released from the IMD, or turns 22, whichever comes first. 27.1.2.3 Children and Young Adults in IMD When a child or young adult applies for Medicaid while in an IMD or after being discharged from an IMD, the IM agency must determine eligibility for Institutional Medicaid for the inpatient IMD days, regardless of the length of stay. Young adults aged 19-20 must be enrolled in Institutional Medicaid for the inpatient IMD days only, if eligible. Children aged 18 or younger are subject to continuous coverage requirements (see SECTION 1.2 CONTINUOUS COVERAGE FOR QUALIFYING CHILDREN). This means that the child, if eligible, may be enrolled in Institutional Medicaid for the inpatient IMD days plus an additional period of time for a total of 12 full months of Institutional Medicaid eligibility, even when they are no longer in the IMD. However, the child’s enrollment should be changed to BadgerCare Plus or another form of Medicaid not based on institutionalization, if they are eligible. Example 1 Jax is 15 years old and was in an IMD from March 10 through March 18, 2024. On April 1, 2024, Jax applies for Medicaid and is determined eligible for Institutional Medicaid. Jax is enrolled effective March 10. Jax is not eligible for BadgerCare Plus or any other form of full-benefit Medicaid. Jax’s Medicaid coverage through Institutional Medicaid ends on March 31, 2025. 27.1.3 Hospitals Hospitals are medical institutions that: 1. Provide 24-hour continuous nursing care, 2. Provide dietary, diagnostic, and therapeutic services, and, 3. Have a professional staff composed only of physicians and surgeons, or of physicians, surgeons and doctors of dental surgery. A person residing in a hospital is an institutionalized person (27.4.1 INSTITUTIONALIZED PERSON) if he or she: 1. Has resided in a medical institution for 30 or more consecutive days, or 2. Is likely to reside in a medical institution for 30 or more consecutive days. The 30-day period includes situations in which the person resides in more than one medical institution during 30 or more consecutive days. However, an individual is not considered “institutionalized” if he or she meets this 30-day test but is in a medical institution solely for the purpose of receiving residential substance use disorder treatment. 27.1.4 Minors in a Medical Institution Minor children who reside (or are likely to reside) in a hospital or other medical institution for 30 or more days can be eligible for Institutional Medicaid if they are determined disabled or presumptively disabled (see SECTION 5.2 DETERMINATION OF DISABILITY and SECTION 5.9 PRESUMPTIVE DISABILITY). For Institutional Medicaid, a blind or disabled minor is a one-person fiscal test group. Only the child’s income is counted. No parental income is deemed to the institutionalized minor.