Kansas Department of Health & Environment

Kansas Family Medical Assistance

Manual (KFMAM)


Eligibility Policy - 10/16/2021

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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 the CE period will be extended if the new eligibility sets a longer CE period then what has been previously established.

a. TransMed to Caretaker Medical
b. Extended Medical to Caretaker Medical
c. Poverty Level Pregnant Woman to Caretaker Medical Pregnant Woman
d. Poverty Level Pregnant Woman to Caretaker Medical Parent
e. Poverty Level Medicaid Newborn to Poverty Level Medicaid Deemed Newborn
f. Poverty Level Medicaid or CHIP Child to Caretaker Medical Child
g. CHIP Pregnant Woman to Poverty Level Pregnant Woman
h. CHIP Pregnant Woman to Caretaker Pregnant Woman
i. Changes within the Aid code, such as changes within PLT, PLN, or CTM.

2312.02 - The following situations will allow a change in coverage within the CE period but will NOT extend the CE period. In some situations, the CE period may even be shortened if the new coverage type has a shorter CE period than the one that was initially established.

a. CHIP Newborn to CHIP Deemed Newborn - This situation will cause the CE period to be shortened because a Deemed CHIP Newborn's CE period is set to match the end of their mother's CE period.
b. CHIP to Medicaid when processing an income change or a household change.
c. CHIP to Medicaid when a prior medical request is received/processed after CHIP eligibility was established and Medicaid eligibility is overlaying the previously established CHIP coverage.

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