Kansas Family Medical Assistance

Manual (KFMAM)

Eligibility Policy - 12/26/2024

02000 >>> 02310 >>> 2312

2311                                                                                                  

2313

2312 Changes in Coverage during a Continuous Eligibility Period -

2312.01 Extending Continuous Eligibility - The following situations will allow a change in coverage within the CE period and a new 12-month CE period will be set.

a. TransMed (TMD) to Caretaker Medical (CTM)
b. CHIP (PLT) to any Medicaid program (PLN, PLN/PW, CTM, SSI or LTC/HCBS programs)
c. Any MAGI category to any aid code that is higher in the hierarchy.

2312.02 - The following situations will allow a change in coverage within the CE period but will NOT extend the CE period.

a. Changes within aid code, such as PLT/C4 to PLT/C5

b. CHIP Pregnant Woman (PLT/PW) to PLN/PW (CE should remain 12 months postpartum)

c. SOBRA (PLN or CTM) 18-year-old – CE will only remain in place through the month of the SOBRA individual’s 19th birthday.