R414-312-4. General Eligibility Requirements

  Unless otherwise stated, the provisions in Rule R414-302 and Section R414-306-4 apply to all applicants and enrollees.

  (1) The following individuals are not eligible for Adult Expansion Medicaid:

  (a) Individuals eligible for any Medicaid program without a spenddown; or

  (b) Individuals eligible for or receiving Medicare.

  (2) An individual must be at least 19 years old and not yet 65 years old to enroll in Adult Expansion Medicaid.

  (a) The month in which an individual turns 19 years old is the first month in which the individual may enroll in Adult Expansion Medicaid.

  (b) An individual may only enroll in Adult Expansion Medicaid through the month in which the individual turns 65 years old.

  (3) The eligibility agency may only enroll applicants during an open enrollment period. The Department may limit the number it enrolls and may stop enrollment at any time.

  (4) The eligibility agency shall waive the open enrollment requirement if the enrollee completes a review within three months of case closure as outlined in Section R414-308-6.

  (5) A resource test is not required.