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MEDICAL SERVICES POLICY MANUAL,SECTION I I-200 Families and Individuals (MAGI) Groups Renewal Process I 220 Regular Renewal

The system will take the following actions: 1. Generate and send to the individual a renewal form that is pre-populated with the information known to the agency. Specific information needed from the individual will be requestedon the form. The individual will be given 30 days from the date of renewal form to provide any necessary information and return the form to the agency. 2. Set a due date in the system by which date the form must be returned. 3. Redetermine eligibility once the renewal form and any other necessary information has been returned and entered to the system and generate the same notices described in MS I-210 #3. Also see verification process at MS G-114. 4. If a MAGI household attests to income over the MAGI income limit, the system will accept the self attestation and find the household ineligible due to income. A closure noticewill be sent to the household and the household members will be referred to the FFM. If the individual returns the renewal form after the case is closed but within 90 days of the coverage termination date, the form will be used to determine eligibility. A new application will be required if the renewal form is returned after 90 days. Example: A renewal form is sent to the individual on August 15 and it is due back in the office on or before September 15. The form is not returned and a 10 day notice is sent informing the individual of the case closure. The case is closed on September 30. The individual returns the renewal form by December 28. Therefore, the renewal form will be used to process eligibility. If eligible there will be no break in coverage for the individual. 5. Update the individual’s record to reflect continued eligibility or effective date of ineligibility. If ineligible, trigger an Account Transfer to the FFM as appropriate. 6. Generate an adverse notice of action to the individual to terminate Medicaid eligibility when the form is not returned by the due date and update the individual’s record to end Medicaid coverage. In this situation, no Account Transfer is made to the FFM. Caseworker Responsibilities The caseworker is responsible for the following actions to complete a regular renewal: