Kansas Family Medical Assistance
Manual (KFMAM)
Eligibility Policy - 9/18/2025
2441
2442 Impact on Current Recipients - When an ongoing CHIP recipient fails to pay their premium obligation for two invoices and the account becomes delinquent, if the case remains delinquent at review and the child(ren) are otherwise CHIP eligible, coverage is discontinued. Discontinuance may only occur at the point of the CHIP recipient’s review as premium delinquency does not impact a child’s Continuous Eligibility (CE) period.
2442.01 Impact of Payments on Premium Deliquency - If a payment is made of the delinquent amount before the end of the review period, the delinquency is resolved. CHIP eligibility may be reinstated without a new request for coverage being required.
If payment of the delinquent amount is made after the review period has ended following closure at review, a new request for coverage is required and a new determination is made. If the request is received during the Reactivation period, a verbal request is allowed. After that time, a new application is required, which would include a verbal request for coverage as allowed per 1402. As this would be considered a new determination and not a reinstatement, coverage will not backdate and should begin the date of approval.