Tenn. Comp. R. & Regs. 1200-13-21-.08 - DISENROLLMENT

(1) Grounds for Disenrollment from CoverKids. Children enrolled in CoverKids at or below 250% of the FPL are financially eligible for 12 months, except in the following situations which will result in disenrollment from CoverKids coverage prior to the end of the 12 month period:

(a) An enrollee, through an authorized family member, requests disenrollment.

(b) Admission of a CoverKids enrollee into a correctional facility or an institution for mental disease.

(c) A CoverKids enrollee moves from the state.

(d) Death of a CoverKids enrollee.

(e) A CoverKids enrollee is enrolled in TennCare.

(f) A CoverKids enrollee meets a TennCare Medicaid spend-down.

(g) A CoverKids enrollee turns age 19.

(h) A woman 19 or older who was enrolled because of pregnancy is no longer eligible after the last day of the month in which the sixtieth postpartum day occurs.

(i) A CoverKids enrollee is discovered not to have been eligible for CoverKids at the time of enrollment. This includes, but is not limited to, enrollees whose enrollment was obtained by fraud or misrepresentation by an enrollee, parent, guardian, or representative.

(2) Procedures. Disenrollment shall be conducted as set out in Chapter 1200-13-19.

Notes

Tenn. Comp. R. & Regs. 1200-13-21-.08

Original rules filed November 28, 2018; effective February 26, 2018. Rule was originally numbered 1200-13-21-.06 but was renumbered 1200-13-21-.08 with the introduction of new rules 1200-13-21-.04 and 1200-13-01-.06 filed January 11, 2021; effective 4/11/2021.

Authority: T.C.A. §§ 4-5-202, 71-3-1106, 71-3-1110, and the Tennessee Title XXI Children's Health Insurance Program State Plan.