Kansas Family Medical Assistance
Manual (KFMAM)
Eligibility Policy - 11/22/2024
02000 >>> 02450
02440
02450 Continuous Eligibility for CHIP -
2451 Continuous Eligibility for CHIP - Once financial eligibility is established as of the date the case is processed, all eligible CHIP children shall be eligible for a 12-month period, unless pregnant (see 02510). This 12-month period establishes the review period for the family and the individual continuous eligibility dates for all approved members.
Children who subsequently enter a household, request assistance and are determined eligible for CHIP shall also receive continuous eligibility for a 12-month period.
When a family contains individuals eligible under any combination of poverty level children, CHIP, Family Medical, newborn or pregnant women categories, individual continuous eligibility periods may differ. Continuous eligibility periods will not always align with other household members.
2452 Continuous Eligibility (CE) Period for CHIP - For CHIP, continuous eligibility begins with the first full month of eligibility, typically the month following authorization or the first month of a new review period. Coverage continues regardless of any changes in income. See 2311 for additional information regarding exceptions to CE.
CE does not automatically end for CHIP recipients who enter an incarcerated status (i.e., become residents of a jail or prison). For eligibility rules related to incarceration for CHIP minors, see 2052.06.
Beginning January 2024, CHIP coverage may not end during a CE period for non-payment of premiums.
2452.01 - the child turns age 19 (unless pregnant or in a postpartum period, see 02300 and 2301);
2452.02 - the child no longer meets residency requirements;
2452.05 - the child no longer lives with a caretaker who meets the criteria of 2110;
2452.06 - the child is found to not have been initially eligible due to agency error or fraud;
2452.07 - the child (unless in a postpartum period) becomes eligible for Medicaid, including PLN, CTM, HCBS, SSI (including eligibility under the protected class in MKEESM 2639), foster care, or adoption support assistance.
2452.08 - there is a voluntary request for case closure.
2452.09 - In any of the above situations, coverage shall be terminated no later than the month following the month the circumstances occur allowing for timely and adequate notice except as noted. Continuous eligibility can be reestablished if circumstances change and there has been less than a calendar month break in assistance. Otherwise, the child would have to qualify again for CHIP or coverage under another medical program.
Note: CE does not automatically end for CHIP recipients who enter an incarcerated status (i.e., become residents of a jail or prison). For eligibility rules related to incarceration for CHIP minors, see 2052.06. Additionally, beginning January 2024, CHIP coverage may not end during a CE period for non-payment of premiums.
2453 Changes in Coverage during a Continuous Eligibility Period - See 2312 for additional information that may impact the CE period of a CHIP child.