7 AAC 100.072 - Retroactive Medicaid eligibility
(a) At the time of
application or interview, an applicant may request Medicaid coverage for a
maximum of three months immediately preceding the month of application if the
applicant has unpaid medical expenses for dates of service any time during that
three-month period.
(b) The
department will inform the applicant about potential retroactive coverage under
this section as part of the application and interview process.
(c) Eligibility must be determined separately
for each retroactive month in which the applicant seeks coverage. The applicant
need not be eligible for Medicaid in the month of application to be found
eligible in any of the retroactive months. An application for retroactive
Medicaid may be filed on behalf of an individual who is deceased at the time of
application.
(d) The department
will use the income and resource methodology of the eligibility category for
which the applicant is applying to determine the following:
(1) actual income received in the
month ;
(2) actual self-employment
income for the month as determined under
7
AAC 100.172 and
7
AAC 100.174;
(3) actual resources that were available in
that month .
(e)
Postpartum Medicaid eligibility under
7
AAC 100.304 may not be granted retroactively under
this section.
(f) Nothing in this
section prevents the department from establishing eligibility retroactively
following a disability determination, hearing under 7 AAC 49, or other
department corrective action.
Notes
Authority:AS 47.05.010
AS 47.07.020
AS 47.07.040
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