Section 7 AAC 100.070 - Continuous eligibility for children(a) Except as provided in (b) and (c) of this section, a child under 19 years of age who is eligible for Medicaid remains eligible for Medicaid for a continuous 12-calendar-month period beginning with the month a prospective eligibility determination is made. Each time a new prospective eligibility determination is made a new 12-calendar-month period begins. During a continuous eligibility period a child continues to be eligible regardless of changes in income, resources, family status, or household composition.(b) The 12-calendar-month continuous eligibility period provided in this section is not available to a child who is eligible for Medicaid under (1) any of the following eligibility categories:(A) newborns under 7 AAC 100.002(a) (5);(B) children in the eligibility category described in 7 AAC 100.002(a) (3);(C) children in the eligibility category described in 7 AAC 100.002(a) (2) (Transitional Medicaid); or(2) retroactive Medicaid described in 7 AAC 100.072.(c) A continuous period of eligibility ends at the earliest of (1) the end of the 12th month of continuous eligibility;(2) the end of the first month the child reaches 19 years of age;(3) the end of the month the child is detained in a juvenile facility or correctional facility, except as described in 7 AAC 100.068;(4) the death of the child;(5) closure of a case due to loss of contact with the applicant or recipient;(6) the date the child loses residency in this state; or(7) the date the previous eligibility period is replaced by a new 12-calendar-month continuous eligibility period that is the result of a new prospective eligibility determination.(d) The continuous eligibility period provided in this section protects a child's eligibility for a maximum of 12 months from the month of the last prospective eligibility determination.(e) In this section, "prospective eligibility determination" means a new categorical and financial eligibility determination that results in the establishment of a new future date on which a review application will be required under 7 AAC 100.020.Eff. 7/20/2007, Register 183; am 4/1/2009, Register 189; am 9/20/2015, Register 215, October 2015Authority:AS 47.05.010
AS 47.07.020
AS 47.07.040