Kansas Family Medical Assistance
Manual (KFMAM)
Eligibility Policy - 7/19/2025
7430
7431 Review Reconsideration Period - If the review form is not returned by the end of the current review period, the individual has a three-month reconsideration period to return the review form through all existing modalities (mail, fax, phone, in-person, and online). Individuals will have until the end of the third month from the date of discontinuance to return the form for processing. After that, they may still return the review form by mail or fax, but the online portal will no longer allow them to submit an online review. Reviews received during the reconsideration period are processed as an application, meaning the effective date of coverage will follow application effective date policies (i.e., first day of the month of application or prior medical period for Medicaid and the date of approval for CHIP).
The reconsideration period also applies to information requested in order to process the review. When an individual is discontinued at review due to failure to provide requested information, they have three months to return the information without having to submit a new application. When requested information is received during the reconsideration period, it is also treated as a new application for effective-dating purposes. This means that while the information may be used to complete the determination for the review, the start date of coverage will be based on when the information was received (i.e., first day of the month received for Medicaid and date of approval for CHIP). If prior medical is needed to fill any gap months, the consumer has 60 days from the date the information was received to make the request.
A review reconsideration period is not applicable to an individual who is approved at review or is denied at review for not meeting eligibility criteria. Any review not submitted in a timely manner shall be treated as an initial application. The timeliness provisions of 1407 and subsections apply.
Note: An individual who timely submits a review form but submits all verification in an untimely manner shall lose the right to a prompt review of eligibility (see 7420).