Kansas Department of Health & Environment

Kansas Family Medical Assistance

Manual (KFMAM)


Eligibility Policy - 12/27/2024

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8111 Situations Requiring Correction of Understated Eligibility - Understatement of eligibility shall be corrected promptly using the program policies in effect for the month(s) in which the error occurred.

The following are situations in which a correction of understated eligibility is required.

8111.01 - The understated eligibility was the result of agency error;

8111.02 - The agency failed to give the household sufficient time to verify information that resulted in the understated eligibility;

8111.03 - The agency failed to take timely action on reported changes that resulted in the understated eligibility;

8111.04 - There is a fair hearing decision in favor of the household;

8111.05 - Case correction is ordered as a result of a class action lawsuit or other legal proceeding.

8111.06 - A recipient may also be entitled to correction of understated eligibility where a change has been reported and verified timely but the future month has already been authorized due to system cutoff date.

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