Once the initial 12 months of TMA have been successfully completed, the IM system will automatically convert to extended TMA if the caretaker or second parent is uninsured and net income is less than or equal to 100% of the federal poverty level (FPL). In the IMU5 system level of care (LOC) “E” identifies caretaker relatives receiving the extended coverage.
In the twelfth month of TMA the system will determine if the caretaker and/or second parent are uninsured. If there is an “I” (insured) in field 13-03 the case will automatically close. If a caretaker relative is uninsured the system will determine if net income in field 34 is less than or equal to 100% FPL. If net income is above 100% FPL the case will automatically close.
The following changes will occur in the IMU5 system after payroll closing in the 12th month of TMA if an “I” is not present in field 13-03 and net income is less than or equal to 100% FPL:
- FIELD 32, will have an ending date 1 year from the date the initial 12 months ended.
- FIELD 38A, a “5” will be placed in the field.
- FIELD 13E, will show a Medicaid start date that is the day after the initial Transitional Medical Assistance ended.
- FIELD 13G, will change to LOC “E”.