Kansas Family Medical Assistance
Manual (KFMAM)
Eligibility Policy - 4/2/2025
7411
7420 Agency Action on Timely Review - If the review form is timely filed and all review requirements have been met, the agency shall promptly process the review to ensure correct and timely coverage is provided. Timely processing shall be defined as follows:
1. A review form received at least 30 calendar days before the end of the review period shall be processed by the end of the review period.
2. A review form received with less than 30 days remaining before the end of the review period shall be processed no later than the last day of the following month. This includes reviews received after the discontinuance batch has run but before the last day of the review period.
NOTE: This process may result in an extended month of coverage. Any extended month of coverage provided under this process is subject to adjustment as indicated in 7410.02(2) if understated eligibility has occurred. However, in no instance shall a claim subject to recovery be created for the extended month (see 8321.02)).
3. Due to the nature of the program, all Medically Needy (MDN) reviews, regardless of when received, shall be processed by the change processing deadline in the last month of the review period. This will ensure that a new 6-month eligibility base period is properly established beginning with the month after the month the review period ends. See also 1410.01(2).
All households shall be notified of the appropriate reporting requirements upon review approval. See 7120.