All BP recipients are eligible for wholly state funded medical assistance under Section 208.151 RSMo. The claimant's eligibility for medical coverage begins the first day of the month of application, provided the claimant is subsequently found eligible and was not obviously ineligible for the entire month of application and the prior three months. If the claimant was obviously ineligible for the entire month of application and all three months prior to approval, the medical eligibility date begins with the first day of the month in which eligibility was met. Prior quarter eligibility criteria applies to BP claimants.
Eligibility determination for prior quarter medical coverage is separate from the eligibility determination for current coverage. A claimant DOES NOT have to be currently eligible for coverage to be eligible for prior quarter coverage and vice versa.
The effective dates of prior quarter coverage can be no earlier than the first day of the third month prior to the month of application and can extend up to but not including the first day of the month of application.
BP recipients under the age of 21 are eligible for Healthy Children and Youth (HCY) services. These services were formerly known as Early Periodic Screening, Diagnosis and Treatment (EPSDST) services. Refer questions about these services the Division of Medical Services Recipient Services unit.