Retroactive Period

The retroactive period is the 3 month period immediately prior to the month in which the application for medical assistance was made. The retroactive period starts on a date in the 3rd month prior to the month in which the application for medical assistance was made. The retroactive period ends on the last day of the month immediately prior to the medical assistance application month.

For example, if a medical assistance application is filed in July, the retroactive period will start in April and end on the last day of June.

In the retroactive period:

• Eligibility is determined individually for each retroactive month.

• The business requirement for the coverage type must be satisfied as well as the retroactive requirements. The individual/household must have incurred a valid medical expense within each retroactive month to be determined eligible.

• Medical Assistance coverage is available for one or more retroactive months.

For example, if a medical assistance application is filed in July, the retroactive period is April to June. An applicant is eligible to receive coverage in any or all of the months April, May and June in which they are found eligible.