End of the Unwinding Period for the Continuous Coverage Requirement due to the COVID-19 Public Health Emergency, PMA-21685-376 (Published March 19, 2024)
Transitioning from Medical Assistance (MA) to the Children’s Health Insurance Program (CHIP) at Renewal, PMA-21663-376 (Published March 4, 2024)
Processing Renewals for Household with Individuals Who Can Be Renewed Through Ex Parte and Individuals Who Cannot, PMA-21483-376 (Published September 11, 2023)
Use of Data Exchange Information during the Medical Assistance (MA) Renewal Process, PMA-21408-376 (Published June 26, 2023)
Ex Parte Process for Medical Assistance (MA) Cases with a Resource Test and/or with Other Benefits (Combination Cases) on the Cas, PMA-21294-376 (Published March 31, 2023)
Use of Data Exchange Information During the Medical Assistance (MA) Renewal Process , PMA19712376 (Published August 16, 2021)
Enhanced Medical Assistance Renewals (EMAR) and Non-Modified Adjusted Gross Income (MAGI)-Related Medical Assistance (MA) , PMA19712376 (Published January 7, 2020)
A renewal is a periodic review of Medical Assistance (MA) eligibility which can be completed by:
Ex Parte Review (See Chapter 376.22)
Fax
COMPASS
Telephone
In-Person
An MA renewal can be completed whenever one is needed, but they must be completed at least every twelve months.
Certain households are open in MA categories that may require a Semiannual Review (SAR) which requires a review date of six months after the MA budget opening or six months from the last renewal (See Section 376.3 Semiannual Reporting).
For all MA eligibility groups, an application (PA 600 or PA 600HC), renewal form (PA 600R or PA 600HCR), or COMPASS renewal may be required, but a face-to-face or individual interview is not.
Note: If an individual turns in the wrong application or renewal form, they do not need to complete another one. If information is missing, the County Assistance Office (CAO) can get it by letter or phone or by using pages of the PA 600 or a different application.
For households that get payment of the Medicare Part B premium (SLMBs or QI-1s), the PA 600M or COMPASS renewal may be used.
For people getting MA under MAWD, the PA 600WD or COMPASS renewal may be used.
The CAO must decide when to review eligibility on the basis of expected changes in an individual's situation and on the required time frame for each type of program and category of MA.
If an individual no longer meets the eligibility conditions for MA, the CAO must take action to discontinue benefits and refer the individual to other medical or health programs, including the Children's Health Insurance Program (CHIP) and the Federally Facilitated Marketplace (FFM).
A renewal of MA eligibility may be completed at the same time as renewal of other programs as long as all information necessary for the MA determination is available with the renewal for the other program.
Note: Eligibility for MAWD (PW0/66), TMA (MG71), and BCCPT (PH20) budgets must not be reviewed prior to renewal date.
Updated January 23, 2020, Replacing May 2, 2018