In which situation would a state Medicaid beneficiary be ineligible in another state?

A state Medicaid beneficiary may be ineligible in another state primarily because that person does not meet the specific criteria set by the new state. Medicaid programs vary significantly from state to state, with each state establishing its own eligibility requirements regarding income, residency, family size, and medical need, among other factors.

When a beneficiary moves to a different state, they must reapply for Medicaid in that state and meet its unique eligibility guidelines. These criteria may differ substantially from those of the original state, potentially leading to ineligibility even if the individual was previously enrolled.

For instance, if a person was eligible for Medicaid in their home state due to low income, that same income level might exceed the limits set by the new state, leading to denial of benefits. In this way, the question highlights the importance of state-specific eligibility requirements in determining Medicaid eligibility across state lines.