Medicaid retroactive eligibility covers medical expenses retroactively for up to three months prior to the application date if the individual would have been eligible during that period.
Medicaid retroactive eligibility refers to the ability of Medicaid to cover medical expenses incurred up to three months prior to the date of application, if the individual would have been eligible for Medicaid during that period.
This provision helps individuals who were eligible for Medicaid but were not enrolled during a medical emergency, allowing them to receive coverage for services retrospectively.
For example, if an individual applied for Medicaid in June but had medical expenses in April and May, Medicaid retroactive eligibility would cover those costs if the individual would have qualified for Medicaid during April and May.
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