Redetermination of Eligibility. Redetermination of eligibility for HIP will occur at least once every 12 months. An enrollee may request a redetermination of eligibility for HIP due to a change in family size (e.g., death, divorce, birth, marriage, adoption) at any time, and the state must perform such redeterminations upon request. Requests for redetermination based on changes in income will be subject to a once a year qualifying event. A “qualifying event” is defined as a job loss or other event resulting in a change in income. Each redetermination must include a reassessment of the individual’s eligibility for Medicaid, and may result in a reduction of the enrollee’s required POWER Account contribution. The state may consider allowing more than one “qualifying event” a year on a case-by-case basis, if the HIP member experiences a job loss or other change in income that results in undue hardship. The enrollee’s MCO may assist the enrollee in completing the steps necessary to remain eligible for HIP.
Redetermination of Eligibility. Enrollees who are eligible for coverage under this Demonstration will have eligibility redetermined at least every 12 months. The State will send eligibility renewal notification to the enrollee prior to the end of the enrollee’s current eligibility period.
Redetermination of Eligibility. Redetermination of eligibility for the Aged Population must occur at least once every 12 months, which is done through the State’s central processing center. An enrollee may request a redetermination of eligibility for the demonstration due to a change in family size (e.g., death, divorce, birth, marriage, adoption) at any time, and the State must perform such redeterminations upon request. Each redetermination must include a confirmation that the enrollee is not receiving coverage under any Medicaid eligibility group covered in the Medicaid State plan prior to re-enrollment into the Demonstration.
