Obsolete per IM-68 August 10, 2023
If the eligibility specialist (ES) becomes aware that the participant is sterilized, or if the participant requests the coverage be closed, end date the need for MO Family Planning Services evidence in MEDES and follow ex parte procedures.
EXAMPLE 1: Ms. Jones delivers her child March 25, by C-Section and notifies her ES that during her C-Section, she had her tubes tied. Upon notification, the ES ends the need for MO Family Planning Services evidence in MEDES. Ms. Jones is not eligible for EWHS and her coverage will end after the 60 day post-partum period.
EXAMPLE 2: Ms. Smith was put on EWHS after her 60 day post-partum period ended. Two months into her one-year period of EWHS, FSD is notified that Ms. Smith was sterilized. She is no longer eligible for EWHS.