Kansas Family Medical Assistance
Manual (KFMAM)
Eligibility Policy - 11/22/2024
8110
8111 Situations Requiring Correction of Understated Eligibility - Understatement of eligibility shall be corrected promptly using the program policies in effect for the month(s) in which the error occurred.
The following are situations in which a correction of understated eligibility is required.
8111.01 - The understated eligibility was the result of agency error;
8111.02 - The agency failed to give the household sufficient time to verify information that resulted in the understated eligibility;
8111.03 - The agency failed to take timely action on reported changes that resulted in the understated eligibility;
8111.04 - There is a fair hearing decision in favor of the household;
8111.05 - Case correction is ordered as a result of a class action lawsuit or other legal proceeding.
8111.06 - A recipient may also be entitled to correction of understated eligibility where a change has been reported and verified timely but the future month has already been authorized due to system cutoff date.