Worker Responsibilities:

Determining Countable Income

1. Refer to Section M901 for information on calculating income.

Determining Retroactive Benefits

1. Determine whether each approved or denied applicant incurred medical bills during any of the three months prior to the month of application.

Closing Cases After The 12 Month Postpartum Period

1. Close the case after the 60 day postpartum period when the date of birth cannot be determined and one of the following occurs:

1A. Client has not completed and returned a review form. Refer to Section M1404 for more information on closing cases.

OR

1B. Client has not provided the baby’s date of birth. Refer to Section M1404 for more information on closing cases.

2. If the mother has received all benefits and is not eligible under another coverage group.

3. Send 15-Day closure notice.