Can a child's Medicaid or FAMIS coverage be reduced or ended during a continuous coverage period?

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The assertion that a child's Medicaid or FAMIS coverage can only end under certain exceptions during a continuous coverage period is accurate. Continuous coverage periods are designed to provide stability and ensure that eligible children maintain access to necessary healthcare services without interruption.

In the context of Medicaid and FAMIS, coverage can typically continue until specific criteria are met, such as changes in family income, household composition, or a child's eligibility status. This approach mitigates the risk of disruptions in healthcare access, which could occur if coverage were to be terminated arbitrarily or without clear justification.

Furthermore, any change in coverage would require adherence to established guidelines and procedures to ensure that the child's needs are continually met and that families are adequately informed. The exceptions that could potentially lead to coverage being reduced or ended are clearly defined, reflecting a commitment to providing consistent care while also managing resources responsibly. This structure supports families facing financial or situational changes while still prioritizing children’s health needs in the community.

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