4-004.02 Retroactive Eligibility

Retroactive eligibility is effective no earlier than the first day of the third month before the month of request if the following conditions are met:

1. Eligibility is determined and a budget computed separately for each of the three months;
2. A medical need exists; and
3. Elements of eligibility were met at some time during each month.

An applicant may be eligible for the retroactive period (or any single month(s) of the retroactive period) even though ineligible for the prospective period.

If a client, at the time of application, declares that s/he incurred medical expenses during the retroactive period and eligibility is not approved, the case record must contain documentation of the reason the client was not eligible in one or more months of the retroactive period.

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4-004.02A Medicid Effective Date of a Pregnant Woman