(Revised 2/04 ML #2900)
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(N.D.A.C. Section 75-02-02.1-20)
Families that cease to be eligible under the Family Coverage group, and who meet the requirements of this section, may continue to be eligible for Medicaid benefits without making further application for Medicaid.
- Families who were eligible (at least one individual) under the Family Coverage group in at least three of the six months immediately preceding the month in which the family became ineligible as a result (wholly or partly) of the collection or increased collection of child or spousal support continue eligible for Medicaid for four calendar months if:
- The family has a child living in the home that meets the Family Coverage group age requirements; and
- The caretaker relative remains a resident of the state.
- If an extended Medicaid Benefits case closes for loss of state residency and the family returns to the state and reapplies while still in the four-month period, eligibility may be re-established for the remainder of the period.
- A family that seeks to demonstrate eligibility in at least three of the six months immediately preceding the month in which the family became ineligible must have been eligible in this state in the month immediately preceding the month in which the family became ineligible. Eligibility from another state may be substituted for the other two months. Verification of eligibility in another state is required.
- If an individual was included as eligible in the Family Coverage case the month the Family Coverage eligibility ended, that individual is included in the Extended Medicaid Benefits. No individuals may be added in to Extended Medicaid Benefits.
- Children who no longer meet the age requirements under the Family Coverage group are not eligible for Extended Medicaid Benefits.
