N.D. Admin. Code 75-02-02.1-20

Current through Supplement No. 395, January, 2025

Section 75-02-02.1-20 - Transitional and extended Medicaid benefits

Families that cease to be eligible under the parent and caretaker relative group and who meet the requirements of this section may continue to be eligible for Medicaid benefits without making further application for Medicaid.

1. Families that include at least one individual who was eligible under the parent and caretaker relative group in at least three of the six months immediately preceding the month in which the family became ineligible because of the relative's earned income may continue to be eligible for transitional Medicaid benefits for up to twelve months if:

a. The family has a child living in the home who meets the children's coverage group age requirements;

b. The caretaker relative remains a resident of the state; and

c. At least one member of the family remains employed or shows good cause for not being employed; or

2. Families that include at least one individual who was eligible under the parent and caretaker relative group in at least three of the six months immediately preceding the month in which the family became ineligible wholly or partly as a result of the collection or increased collection of spousal support continue to be eligible for extended Medicaid for four calendar months if:

a. The family has a child living in the home who meets the children's coverage group age requirements; and

b. The caretaker relative remains a resident of the state.

3. A family that seeks to demonstrate eligibility in at least three of the six months immediately preceding the month in which the family became ineligible must have been eligible in this state in the month immediately preceding the month in which the family became ineligible.

4. Children who no longer meet the age requirements under the parent and caretaker relative group are not eligible for transitional or extended Medicaid benefits.

N.D. Admin Code 75-02-02.1-20

Amended by Administrative Rules Supplement 2014-353, July 2014, effective January 1, 2014. .

Amended by Administrative Rules Supplement 368, April 2018, effective 4/1/2018.

General Authority: NDCC 50-06-16, 50-24.1-04

Law Implemented: NDCC 50-24.1-01, 50-24.1-37