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MEDICAL SERVICES POLICY MANUAL,SECTION O O-200 Initial Requests for Medically Needy Services O 240 Initial Contact withApplicant in Person
The distinction between an application and an inquiry is as follows: 1. An application is a signed request for payment ofmedical services by an individual or his authorized representative. 2. An inquiry is a request for information. An inquiry is distinguished from an application by the intent of the person to receive information rather than to apply.
O-240 Initial Contact with Applicant in Person MS Manual 01/01/14 After an application is submitted to DCO, the caseworker will determine if a face-to-face or telephone interview is required or if the application can be processed using previous documentation.
O-250 Steps in Application Process MS Manual 01/01/14 MS Sections O-250 through O-257 describe the required steps in the Medically Needy initial application process.
O-251 Application Interview MS Manual 01/01/14 If a face-to-face or telephone interview is required, the tasks to be completed during the interview are as follows: 1. Explanation of the Medically Needy Program and the Agency regulations that affect the applicant. The explanation will be in terms the applicant can understand. 2. Explanation of the Agency’s responsibility for carrying out policy in determining eligibility; of the applicant’s responsibility for cooperating in the establishment of eligibility; of the mandatory assignment of rights to Medical support/third party liability (Re. MS D-500); of the obligation to file third party resource claims within a reasonable period of time; of the applicant’s obligation to cooperate in Child Support Enforcement Activities (Re. MS F-130); of the information needed to establish eligibility; and of the confidential way in which the Agency treats information. 3. Explanation of the requirement that the applicant and each person included in the MNIL must have or apply for, a Social Security Number as a condition of eligibility (Re. MS D-400).