Age Out

At age 65 participants age-out for all MAGI-based healthcare programs and MEDES completes an ex-parte (eligibility review) to explore eligibility for MHABD. We review the participant’s circumstances to determine continued eligibility for benefits.

• An IM-80PRE is generated 20 days prior to the participant’s 65th birthday
• The system will trigger a request for MHABD evaluation at age 65

At age 56 participants age out from UWHS and MEDES completes an ex-parte (eligibility review) to explore eligibility for family healthcare and MHABD.

• An IM-80PRE is generated 20 days prior to the participant’s 56th birthday
• The system will trigger a request for MHABD evaluation at age 56 if the woman is blind/disabled or has SSI income

At age 19, a participant’s level of care can be affected. MEDES completes an ex-parte (eligibility review) to explore eligibility for a family healthcare program or MHABD for the 19-year-old and any parent or non-parent caretaker.

• An IM-80PRE is generated 20 days prior to a participant’s 19th birthday
• The system will trigger a request for MHABD evaluation at age 19 if the participant is blind/disabled or has SSI income