Section 29-9510. TRANSITIONAL MEDICAID

 

9510.1Under Section 1925 of the Social Security Act (the Act), as amended, 42 U.S.C §§ 1396r-6, the Department of Health Care Finance (DCHF) may extend Transitional Medical Assistance (TMA) to certain families and dependent children with low-income who were: Medicaid eligible (includes retroactive eligibility) during at least three (3) of the six (6) months immediately preceding the month in which the family became ineligible.

 

9510.2Twelve (12) months of full Medicaid coverage under TMA may be provided to families who no longer qualify under Section 1931 of the Act due to:

 

(a) Increased earned income, or working hours, from a parent or other caretaker relative’s employment, or

 

(b) The loss of a time-limited earned income disregard.

 

9510.3TMA shall begin on the date of termination of Medicaid.  

 

9510.99 DEFINITIONS

 

For the purposes of this section, the following terms shall have the meanings ascribed:

 

Disregard: means the amount(s) of income deducted in determining financial eligibility for Medicaid.

 

 

authority

An Act to enable the District of Columbia (District) to receive federal financial assistance under Title XIX of the Social Security Act for a medical assistance program, and for other purposes approved December 27, 1967 (81 Stat.774; D.C. Official Code § 1-307.02 (2012 Repl. & 2014 Supp.)) and Section 6(6) of the Department of Health Care Finance Establishment Act of 2007, effective February 27, 2008 (D.C. Law 17-109; D.C. Official Code § 7-771.05(6) (2012 Repl.)).

source

Final Rulemaking published at 62 DCR 8059 (June 5, 2015); as amended by Final Rulemaking published at 62 DCR 11142 (August 14, 2015); as corrected by the Errata Notice published at 62 DCR 13452 (October 16, 2015).