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CHAPTER 3: APPLICATION DISPOSITION

INTRODUCTION 3.1 There are two application dispositions: approved and denied. This chapter addresses both types of dispositions, but the majority of the chapter concentrates on denied applications.

LEGAL AUTHORITY 3.2

AREA/TOPIC DISTRICT FEDERAL Application Withdrawal FS: 7 CFR 273.2 Application Denial TANF: D.C. Code 4-205.26; 4-205.27; 4- 205.51; 4-210 GC: See TANF and D.C. Code 4-205.5a MA: 42 CFR 431.206; 431.220; 435.911-912 FS: 7 CFR 273.2 APPROVED 3.3

MA If all non-financial and financial conditions of eligibility (see Part IV: Non-Financial Eligibility and Part VI: Financial Eligibility) are met, the SSR shall notify the applicant of eligibility via letter within 45 days of the date of application. ESA shall inform DOH about the applicant's eligibility. DOH will inform the applicant if s/he must enroll in a managed care program. The applicant will receive his/her MA card through the mail. If the applicant is ineligible during the month of application but becomes eligible before the application is denied, the SSR shall approve the application for the month in which the applicant meets the eligibility requirements.

Example Ms. Parks, age 67, applies on January 3 for Medicaid based on age and income. At the time she applies, she fails to meet the asset test, but on January 15, she calls to say that her assets have been depleted below the asset limit because she paid a past due credit card bill. The SSR has not yet denied her application for Medicaid. Ms. Parks will now be approved for Medicaid effective January 1.

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Page 79

Official source

CHAPTER 3: APPLICATION DISPOSITION

INTRODUCTION 3.1 There are two application dispositions: approved and denied. This chapter addresses both types of dispositions, but the majority of the chapter concentrates on denied applications.

LEGAL AUTHORITY 3.2

AREA/TOPIC DISTRICT FEDERAL Application Withdrawal FS: 7 CFR 273.2 Application Denial TANF: D.C. Code 4-205.26; 4-205.27; 4- 205.51; 4-210 GC: See TANF and D.C. Code 4-205.5a MA: 42 CFR 431.206; 431.220; 435.911-912 FS: 7 CFR 273.2 APPROVED 3.3

MA If all non-financial and financial conditions of eligibility (see Part IV: Non-Financial Eligibility and Part VI: Financial Eligibility) are met, the SSR shall notify the applicant of eligibility via letter within 45 days of the date of application. ESA shall inform DOH about the applicant's eligibility. DOH will inform the applicant if s/he must enroll in a managed care program. The applicant will receive his/her MA card through the mail. If the applicant is ineligible during the month of application but becomes eligible before the application is denied, the SSR shall approve the application for the month in which the applicant meets the eligibility requirements.

Example Ms. Parks, age 67, applies on January 3 for Medicaid based on age and income. At the time she applies, she fails to meet the asset test, but on January 15, she calls to say that her assets have been depleted below the asset limit because she paid a past due credit card bill. The SSR has not yet denied her application for Medicaid. Ms. Parks will now be approved for Medicaid effective January 1.