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KBM coverage will be maintained for at least 30 days from the date the letter is sent to give the member time to apply. If the IM agency receives an application by the due date, KBM coverage will continue until the IM agency finishes processing the application. See SECTION 5.2.3 KATIE BECKETT MEDICAID MEMBERS MOVING TO OTHER EBD MEDICAID PROGRAMS, regarding disability transition when KBM coverage is ending. If the IM agency does not receive an application by the due date, KBM coverage will end with timely notice. Applications received after the due date will be processed in accordance with normal application policies. Example 1 Tina is 12 years old and enrolled in KBM. In March, her father reports that Tina is hospitalized and is expected to remain in the hospital for several months. While KBM requires members to be living in a home or community setting (rather than a medical institution), Tina remains enrolled in KBM for the remainder of her 12-month continuous coverage period, which ends in August. On August 3, the KBM worker processes Tina’s renewal. Tina is still living in a medical institution, and therefore no longer qualifies for KBM. On August 4, a letter is sent to the household informing them that Tina no longer qualifies for KBM, but if she applies for health care and the application is received by September 3, her current coverage will continue until the application is processed. Tina’s father applies by phone on August 10. On August 20, the IM worker determines Tina is eligible for Institutional Medicaid starting on October 1. Her KBM ends on September 30. This page last updated in Release Number: 25-04 Release Date: 12/10/2025 Effective Date: 12/10/2025 29.3 Katie Beckett Medicaid Changes in Circumstance When a KBM member experiences a change in circumstances and no longer meets program requirements (for example, they become institutionalized or no longer meet medical criteria), they remain enrolled in KBM until the end of their continuous coverage period. At renewal, if the member still does not meet KBM requirements due the change in circumstance, a process begins to request the member apply for other health care types with IM. See MEH SECTION 29.2.1 INELIGIBLE FOR KBM AFTER RENEWAL. This page last updated in Release Number: 25-04 Release Date: 12/10/2025 Effective Date: 12/10/2025 29.4 Katie Beckett Medicaid Members Turning Age 19 Members are no longer eligible for KBM once they turn 19, and 19-year-olds are ineligible for continuous coverage (see MEDICAID ELIGIBILITY HANDBOOK SECTION 1.2 CONTINUOUS COVERAGE FOR QUALIFYING CHILDREN). Members receive two notices in advance of turning 19 informing them that their KBM enrollment will end when they turn 19 and recommending that they submit a health care application. If a member submits a health care application within three months of their KBM enrollment ending, provides any requested documentation on time, and meets all non-financial and financial requirements, the member’s KBM disability determination will satisfy the disability requirement for all EBD Medicaid programs while the member completes the required DDB disability application and waits for a decision