Kansas Family Medical Assistance
Manual (KFMAM)
Eligibility Policy - 4/28/2024
06000 >>> 06300 >>> 6311 >>> 6311.01
6311
6311.01 Current Eligibility Periods - The eligibility base will be 1 month base for all MAGI programs with the exception of Medically Needy. The eligibility base will be 6 months for Medically Needy cases. The 6 month base will be shortened, however, in the following circumstances:
(1) - When a recipient becomes eligible for CTM or SSI.
(2) - When a recipient begins receiving long term care in a Medicaid-approved institution.
(3) - When a recipient begins HCBS.
(4) - When a recipient is transferred from a Family Medical Medically Needy program to a Disability related Medically Needy program or vice versa. .
(5) - When the only person in an assistance plan dies and eligibility has not been determined due to a spenddown.
If the applicant dies or if an application is made on behalf of a deceased person, eligibility will begin no earlier than the third month prior to the month of application.
(6) - When the only recipient on the Medically Needy case becomes eligible for Medicaid poverty level coverage, or coverage through foster care.
(7) - When two or more Medically Needy recipient family groups combine into one. In such instances, the previous bases shall be shortened and a new base period started with the combined family group.