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MEDICAL SERVICES POLICY MANUAL,SECTION O

O 940 Medically Needy Case Closures

5. A recipient has been accepted for assistance in a new jurisdiction (another state) and that fact has been established by the jurisdiction that previously granted assistance.

6. A child is removed from the home as a result of a judicial determination or voluntarily placed in foster care by his legal guardian. The caseworker will notify the recipient by sending form DCO-700 or system generated notice regarding ineligibility of a member and/or closure of the Medically Needy case.

O-940 Medically Needy Case Closures MS Manual 06/01/25 The system will automatically affect closure of current open Spend Down cases and all cases which are converted to SSI eligibility. With the exception of closed past Spend Down and Fixed Eligibility Certifications, the advance notice applies to all categories. Eligibility for Health Care ceases at the end of the advance notice period. Under date specific eligibility, eligibility may be terminated on any day of a month for Exceptional Medically Needy cases and for Spend Down cases.

O-950 Medically Needy Case Record MS Manual 01/01/14 The Medically Needy electronic case record will contain the following items required for proof that all conditions of eligibility are met. 1. Documentation of the eligibility factors that correspond with the Medically Needy category to which the case is related. (Refer to the section regarding categorical relatedness). 2. All medical bills/statements/receipts (and/or photo copies) used in determining Spend Down eligibility. Each bill must be: • Itemized by the date of medical services • Identified with the individual/family name(s)