Kansas Family Medical Assistance
Manual (KFMAM)
Eligibility Policy - 12/26/2024
02310
2311 Continuous Eligibility (CE) Period - Continuous eligibility begins with the first month of eligibility (see 2310 above) in the current review period and continues regardless of any changes in income. Such eligibility shall continue unless one of the following circumstances occurs:
2311.02 - an individual no longer meets residency requirements;
2311.04 - a recipient on a MAGI program (Medicaid or CHIP) becomes eligible for a non-MAGI program such as HCBS or SSI (including eligibility under the protected class, see MKEESM 2639), Foster Care Medical (FCM), or Adoption Support Medical (ASM) coverage.
2311.05 - the child no longer lives with a caretaker who meets the criteria of 2110. (Continuous eligibility ends for any non-pregnant adult caretakers in the home).
2311.06 - an individual is found to not have been initially eligible due to agency error or fraud;
2311.07 - a CHIP recipient (unless in a postpartum period) becomes eligible for Medicaid.
2311.08 - there is a voluntary request for case closure;
2311.09 - there is a loss of contact in which the individual and/or family's whereabouts are unknown. Continuous eligibility ends for any non-pregnant adults in the home in accordance with 7230;
2311.10 - there is not at least one child in the home or qualifying under temporary absence provisions of 2110. Continuous eligibility ends for any non-pregnant adults in the home;
2311.11 - a non-pregnant adult caretaker fails to cooperate with Child Support Services (CSS). (Continuous eligibility ends for any non-pregnant adult in the home).
In any of the above situations, coverage shall be terminated with the month the circumstances occur or a following month allowing for timely and adequate notice. Continuous eligibility can be reestablished if there is less than a calendar month break in assistance. Otherwise, the individual would have to reapply and qualify again.
Note: CE does not automatically end for recipients or applicants in an incarcerated status (i.e., individuals who become residents of a jail or prison). For eligibility rules related to incarceration, see 2052.05 for Medicaid minors and 2052.07 for adults.