Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-1 - GENERAL
Section 560-X-1-.12 - Medicaid Eligibility Termination

Universal Citation: AL Admin Code R 560-X-1-.12

Current through Register Vol. 42, No. 11, August 30, 2024

(1) When a recipient is notified by the Social Security Administration that he/she is no longer eligible for Supplemental Security Income, Medicaid will send a termination notice unless he/she remains eligible for Medicaid under Alabama criteria. A recipient shall be notified at least ten days before the effective date of termination from Medicaid benefits. Chapter 28 provides two types of termination notices.

(2) In all other termination's Medicaid and the Department of Human Resources issue Termination Notices ending Medicaid eligibility.

(3) Medicaid recipients residing in an institution may lose eligibility if they are discharged from the institution to home, or if their monthly income or resources rise above the limit for Medicaid eligibility.

(4) If a Medicaid eligible person, other than a foster child, moves permanently outside the State of Alabama, he/she will be terminated from Alabama Medicaid.

(5) Foster children will lose eligibility when they cease to be foster children.

(6) Minors eligible for Early and Periodic Screening, Diagnosis and Treatment (hereinafter called EPSDT) will lose eligibility age 21.

(7) Medicaid recipients will lose eligibility when income exceeds the limit established for eligibility.

Author: Kathy Hall, Deputy Commissioner, Program Administration

Statutory Authority: State Plan; 42 C.F.R. §§430, et seq.;Social Security Act, Title XIX.

Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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