1. (1) Suspension of benefits applies to all Medicaid coverage groups;
2. (2) All factors of eligibility must be met to be suspended;
3. (3) Reviews must be completed for all individuals in a suspended status, with the exception of an individual who is under 21 years of age, or eligible for the Former Foster Care program.

Individuals who are inmates of a public institution will not be closed or denied Medicaid eligibility, but placed in a suspended status. The following apply to suspension of benefits:

KEY: public assistance programs, applications, eligibility, Medicaid

Date of Last Change: June 19, 2025

Notice of Continuation: January 6, 2023

Authorizing, and Implemented or Interpreted Law: 26B-3-108; 26B-1-213