Family and Children's Medicaid MA-3425 CERTIFICATION AND AUTHORIZATION

IV. SPECIAL SITUATIONS

A. Matching Assistance Units

1. To facilitate case management, the following individuals living in the same household may have the same c.p. even if they apply in different months:

a. Parent(s) and his child(ren) for whom the parent(s) has financial responsibility, or

b. Siblings, including half- and step-siblings, living with their financially responsible parent(s).

2. For applications, the c.p. of the applicant must end with that of the already eligible individual. To do this, make the applicant’s and recipient’s thru date for the CP the same. The applicant’s “thru date” for the c.p. is the same as the recipient’s. Matching c.p.’s does not remove requirement for 12 months continuous eligibility.

3. If at the next re-enrollment you discover assistance units that need to have the same c.p., change the “thru date” of the case being re-enrolled to agree with the “thru date” of the other case.

B. Separating Assistance Units That Have Previously Been Combined (See MA-3305, MAF, MIC, HSF Budgeting)

1. Retain the original c.p. of the combined assistance units when separating the MAF assistance units, and

2. Recompute the budget for the separated assistance units as if they had been separate for the entire c.p.

(IV.)

C. Deleting Individuals

1. To delete an individual from an existing MAF case in order to create a new MIC case:

a. Retain the c.p. of the original MAF case.

b. Treat the deletion as a change in situation to the MAF case.

c. Certify the MIC case beginning with the first of the month following the last month of MAF eligibility through the end of his 12-month continuous eligibility period.

2. To delete an individual from an existing MAF case in order to create a new MPW case:

a. Treat the deletion as a change in situation to the MAF case.

b. Begin the MPW c.p. with the 1st month of MPW coverage and end on the last day of the post partum period. See III.A., above.







For questions or clarification on any of the policy contained in these manuals, please contact your local county office.