Family Healthcare (FAMIS) Manual – Table of Contents

0910.055.55 Children On TMA Cases Not Being Extended (ETMA)

If the TMA case is being closed the children’s eligibility for MC+ should be explored. A new application is not required. Make the eligibility determination based on the income last reported and the child’s insurance status. The children should be eligible, unless income is above the non-CHIP limit and they are insured. If eligible, send the family an approval letter (IM- 32MC). If ineligible, send a denial letter (IM-33MC). The family should be notified as soon as possible, but no later than 10 days after the report is received.