7 AAC 100.200 - Eligibility for Transitional Medicaid benefits

(a) Medicaid eligibility under 7 AAC 100.002(a) (2) and 7 AAC 100.200 - 7 AAC 100.209 is available for up to 12 months if the household

(1) was eligible for and in receipt of Family Medicaid in any three of the six months, including months of retroactive eligibility, immediately preceding the month in which the household became ineligible for Family Medicaid; and

(2) became ineligible for Family Medicaid under (b) of this section because of an increase in the earnings of a caretaker relative due to an increase in hours worked or in the rate of pay.

(3) repealed 10/1/2009.

(b) For the purposes of this section, a household becomes ineligible for Family Medicaid when the increase in earnings alone would make the household financially ineligible even if all other factors of eligibility for the household remained the same. If another factor of eligibility for the household changes that does not, if considered independently, result in financial ineligibility for Family Medicaid, but if combined with an increase in earnings does contribute to the loss of eligibility, the household is eligible for Transitional Medicaid. If two factors of eligibility change in the same month and either one could cause ineligibility, the department will base its determination of ineligibility on the increased earnings so that the household will qualify for Transitional Medicaid.

(c) A household is not eligible for Transitional Medicaid because it became ineligible for

(1) Family Medicaid for any reason other than increased earnings, including changes in the household size or the return of an absent parent;

(2) Medicaid under any eligibility category other than Family Medicaid; or

(3) ATAP benefits under 7 AAC 45.

(d) When determining if a household was eligible for or in receipt of Family Medicaid under (a)(1) of this section, the department will consider a household to have been receiving Family Medicaid if it was receiving Medicaid in a different eligibility category and could have qualified for Family Medicaid had it selected that eligibility category.

Notes

7 AAC 100.200

Eff. 7/20/2007, Register 183; am 10/1/2009, Register 191

Authority:AS 47.05.010

AS 47.07.020

AS 47.07.040