16 Del. Admin. Code § 14000-14660

Current through Register Vol. 28, No. 7, January 1, 2025
Section 14000-14660 - Denial Or Termination Of Eligibility

Individuals who fail to meet the assignment provisions including assignment of rights to benefits and cooperation must be denied Medicaid eligibility or have eligibility terminated if already receiving Medicaid. This includes individuals who refuse to assign his or her own rights or those of any other individual for whom he or she can legally make an assignment. Pregnant and postpartum women do not have to cooperate in establishing paternity and obtaining medical support.

Medicaid must be provided to any individual who cannot legally assign his or her own rights and is otherwise eligible for Medicaid, when the person who has the legal authority refuses to assign the eligible individual's rights. For example, if a mother refuses to assign benefits for herself and her children, only the mother becomes ineligible for Medicaid. The children remain eligible. However, if a mother with a newborn refuses to assign rights or to cooperate, both the mother and the newborn are ineligible, since the newborn's eligibility is dependent upon the mother's eligibility. An application must be filed on behalf of the newborn to establish eligibility on his or her own behalf as a child.

16 Del. Admin. Code § 14000-14660