No Review – Program will not be reviewed; coverage will continue until worker determines or is notified that coverage should end. Applicant will be notified only on coverage change.
Passive/ExParte – Continued eligibility based on information available to agency. A letter is mailed to the applicant notifying them of information used and to notify the agency if updates are needed.
Pre-Populated – Form is mailed to the applicant with the information currently on file. The applicant must update and return the form for eligibility to be determined.
Targeted – Applicant is mailed specific information to be completed and returned for continuing eligibility to be determined.
Internal – Continuing eligibility is determined based on information provided by an external contact. Applicant will be notified only on discontinuance.
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No Review |
Passive/Ex-Parte* |
Pre-Populated |
Targeted |
Internal |
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Programs |
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Adoption Support Medical |
Caretaker Medical |
Medically Needy Pregnant Woman |
Breast & Cervical Cancer |
Tuberculosis |
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Foster Care Medical |
Poverty Level 19 Newborn |
Medically Needy Children |
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MediKan Reintegration |
Poverty Level 19 Children Aged 1-18 |
MediKan |
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Presumptive Eligibility |
Transitional Medical |
Working Healthy |
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SSI Recipients |
Extended Medical |
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Medically Needy** |
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Protected Medical Groups |
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*Includes Overridden EDBC’s
**Except for Pregnant Women & Children
If the review type is Passive also as Ex-Parte Review, KEES will start at this review type but if all the criteria is not met for this review type, the review type changes to Pre-Populated. Some examples of reasons for a review to become Pre-Populated are: Self-Employment income and resources are > 85% of limit.