Family and Children's Medicaid MA-3405 TWELVE MONTHS TRANSITIONAL MEDICAID
II. POLICY RULES
Evaluate for Twelve Months Transitional Medicaid when a family loses eligibility for Work First Family Assistance or MAF-C.
To be eligible for 12 months Transitional Medicaid, the assistance unit must:
A. Have been eligible for and received assistance (including Benefit Diversion) or MAF-C in North Carolina in at least three of the six months immediately preceding the first month of ineligibility.
REISSUED 11/01/11- CHANGE NO. 15-11
1. The person who caused ineligibility must have been in the assistance unit for each of these months.
2. Do not consider months in which a recipient:
a. Received payments which he was not eligible to receive,
b. Was eligible for less than a $25.00 payment,
c. Received payment as the result of a request for an appeal.
B. Be ineligible for assistance because:
1. The caretaker relative increased his earnings due to increased hours of employment (including beginning employment) or due to increase in rate of pay; or
2. An increase in earnings in combination with an increase in other income caused ineligibility for assistance.
C. Continue to have an eligible child in the home during the entire 12 months.
D. Live in North Carolina.
E. Have included the caretaker in the month in which ineligibility for assistance began.
F. Ensure you evaluate the assistance unit for Job Bonus before evaluating for 12 months Transitional Medicaid.