When someone is added to the integrated case, the caseworker checks eligibility across all coverage types. This triggers an automatic assessment across all coverage types. In the case of CHIP, if it is determined the new household member is part of the financial unit and household size, the member is automatically added to the financial group and member group of that product delivery.
If the new household member is eligible for CHIP (for example, a newborn), the caseworker must add the new household member to the CHIP product delivery if the household member wants CHIP coverage. The new household member is added to the case from today's date, unless a newborn, in which case, the member is added to the benefit group from his or her date of birth. The same procedure as discussed in number 1 above (Modification of the Benefit Group in CHIP) will subsequently take place.
When a household member is removed from the integrated case, the end date is automatically updated on the case group pages of any active cases on which he or she is a member. Reassessment of any product deliveries the member was part of is automatically triggered.
If the 'removed' member was part of a CHIP benefit group, he or she remains covered for CHIP up to and including the last day of the month. The caseworker is notified to take the appropriate action. If there was only one child on the case, the case is closed after the last day of coverage. If there are other children on the case, the case remains open and the affected child is removed from the benefit group on the last day of coverage.