163.05 Redetermination of Eligibility During the Four-Month Coverage Period (MAM)

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Conduct a full redetermination of eligibility prior to expiration of the four-month extended medical assistance (EMA) coverage period. Prior to terminating four-month (EMA), all individuals in the four-month EMA assistance group must be reviewed for eligibility under other medical assistance programs.

As long as a full redetermination of eligibility is completed prior to expiration of the four-month EMA coverage period, the District Office may choose to omit other regularly scheduled FANF redeterminations during the four-month EMA coverage period.

Policy about redeterminations will change under the Affordable Care Act (ACA). This policy will be updated to incorporate these changes at that time.

References: He-W 882.04; 42 CFR 435.115(f)-(h); 45 CFR 233.20(a)(15); 42 USC 1396u-1(c)(1)