Ala. Admin. Code r. 560-X-1-.12

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-1-.12 - Medicaid Eligibility Termination

(1) When a recipient is notified by the Social Security Administration that he/she is no longer eligible for Supplemental Security Income, Medicaid will send a termination notice unless he/she remains eligible for Medicaid under Alabama criteria. A recipient shall be notified at least ten days before the effective date of termination from Medicaid benefits. Chapter 28 provides two types of termination notices.

(2) In all other termination's Medicaid and the Department of Human Resources issue Termination Notices ending Medicaid eligibility.

(3) Medicaid recipients residing in an institution may lose eligibility if they are discharged from the institution to home, or if their monthly income or resources rise above the limit for Medicaid eligibility.

(4) If a Medicaid eligible person, other than a foster child, moves permanently outside the State of Alabama, he/she will be terminated from Alabama Medicaid.

(5) Foster children will lose eligibility when they cease to be foster children.

(6) Minors eligible for Early and Periodic Screening, Diagnosis and Treatment (hereinafter called EPSDT) will lose eligibility age 21.

(7) Medicaid recipients will lose eligibility when income exceeds the limit established for eligibility.

Ala. Admin. Code r. 560-X-1-.12

Rule effective October 1, 1982. Amended: Effective June 8, 198 5; January 13, 1993. Amended: Filed September 11, 2013; effective October 16, 2013.

Author: Kathy Hall, Deputy Commissioner, Program Administration

Statutory Authority: State Plan; 42 C.F.R. §§430, et seq.;Social Security Act, Title XIX.