163.01 Determining the Four-Month Coverage Period (MAM) |
Previous Policy |
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Base the four-month extended medical assistance (EMA) coverage period on the date of the last FANF payment for which the individual was eligible, as follows:
If the individual's last eligible payment is for the 30th payroll of the month in which financial assistance terminates, begin four-month EMA coverage on the first day of the following month.
If the individual's last eligible payment is for the 15th payroll, begin four-month EMA coverage on the 16th day of the month in which financial assistance terminates. Count the month in which financial assistance terminates as the first full month of the four-month EMA period.
References: He-W 882.04; 42 CFR 435.115(f)-(h); 45 CFR 233.20(a)(15); 42 USC 1396u-1(c)(1)