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Effective: December 1, 2006 |
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13.25ar1 - County Residence (Archive) |
Archived: August 1, 2008 |
MA and GAMC have rules about county residence. County residence rules do not affect eligibility. These rules determine:
l County of financial responsibility for the program administrative costs.
l County of service.
See County Transfers for procedures to follow when a client moves to another county.
Financially Responsible County.
Cash Enrollee with Automatic MA/GAMC Moves.
Financially Responsible County
The county of financial responsibility is the county in which the applicant lives on the day the county receives a written request for assistance.
Exception: The applicant lives in an excluded time facility or receives excluded time services. The county of financial responsibility is the county in which the person lived immediately before the excluded time started.
If an applicant moves to another county before the first county acts on the application, the first county is financially responsible. The new county becomes financially responsible when the applicant has lived in the new county for two full calendar months.
Exception: If the applicant is ineligible for the period of time before the date of the move to the new county, the new county is financially responsible effective the date eligibility begins.
Example:
Sheila applies for MA in County A on April 10. County A worker reviews the application and provides a list of information needed to process the application. Sheila calls on April 25 to report that she moved to County B on April 20.
Sheila has not turned in the required information. County A transfers the application to County B for processing. They instruct Sheila to give the required information to County B.
Action:
On May 10, County B determines that Sheila is eligible for MA retroactive to March 1. County A is financially responsible until July 1. May and June are the two full calendar months.
If Sheila had submitted the information before reporting the move, County A would have processed the application before transferring the active case to County B.
Example:
John applies for MA in County A on October 4. On October 20, he submits all required information to County A and reports that he moved to County B on October 20. County A determines that he is ineligible for October but will become eligible on November 1.
Action:
County A transfers the application to County B to approve MA effective November 1. County B is financially responsible.
If a former MA or GAMC client reapplies in a new county within 30 days of an MA or GAMC termination by another county, the former county continues financial responsibility. The new county becomes financially responsible two full calendar months after the move date.
Note: If a former county of residence closed MA or GAMC more than 30 days ago, the new county is financially responsible even if the applicant requests retroactive coverage.
Enrollee Moves to Another County
When an active MA or GAMC enrollee moves to a new county, the new county becomes financially responsible when the enrollee has lived in the new county for two full calendar months.
Exception: Do not count time spent in excluded time facilities or receiving excluded time services toward the two calendar months.
Do not count the month of the move, even if the move takes place on the first day of the month.
Example:
The Olson family receives MA in County A. They move to County B on March 1.
Action:
County A remains responsible for April and May.
Example:
Jennifer receives MA with her mother in County A. On August 5, she moves in with her aunt in County B. Her aunt receives MA in County B.
Action:
County A remains financially responsible for Jennifer's MA until November 1.
Example:
Marvin and Lucinda receive GAMC in County A. They separate on October 7, and Marvin moves to County B.
Action:
County A remains financially responsible for Marvin's GAMC until January 1.
If the client does not live in the new county outside of excluded time for two full calendar months, the new county does not become financially responsible. The first county is responsible until the client lives in non-excluded time in another county for two full calendar months.
Example:
Cecilia and her daughter receive MA in County A. They enter an excluded time facility in County B on March 12. They leave the facility on April 4 and move to non-excluded time in County C.
Action:
County A remains responsible until July 1. May and June are the two full calendar months of residence in County C. County C is responsible starting July 1.
Cash Enrollee With Automatic MA/GAMC Moves
When an enrollee who receives automatic MA or GAMC with cash assistance moves, the county responsible for the cash assistance is also responsible for MA or GAMC. Follow the policies of the cash program when determining and transferring financial responsibility for MA and GAMC.
Note: If an active MA or GAMC enrollee applies for cash assistance in the new county, the new county is responsible for the cash assistance. The former county retains responsibility for the MA or GAMC until the enrollee has lived in the new county for two full calendar months.
Example:
Rufus receives MA from County A. He moves to County B on May 1. He applies for MSA in County B on May 5. County B approves his application on May 20.
Action:
County A remains responsible for the MA until August 1.