Sec. 10.09.79.07. Coverage Span  


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  • A. Presumptive eligibility begins on the day the presumptive eligibility worker determines the individual is presumptively eligible.

    B. Presumptive eligibility ends on the earlier of:

    (1) The day the individual is determined eligible for Medical Assistance; or

    (2) The last day of the month following the month in which the correctional facility determined presumptive eligibility, if an individual:

    (a) Is found ineligible for Medical Assistance; or

    (b) Failed to apply for Medical Assistance.

    C. A non-pregnant individual may be determined presumptively eligible once per a 12-month period.

    D. A pregnant individual may be determined presumptively eligible once per pregnancy.