Basic Considerations

Do not deny or terminate Medicaid eligibility before completing a Continuing Medicaid Determination (CMD) to consider eligibility under all other Medicaid COAs.

Complete a CMD on all SSI terminations that appear on DCH generated reports or transmitted via the Ex-Parte interface. Refer to 2750 DCH Reports-Ex Parte Lists for processing instructions.

If the MES becomes aware of A/Rs who, because of an SSI denial/termination, have been inappropriately receiving Medicaid under an Ex Parte COA, follow the same instruction found in 2750 DCH Reports-Ex Parte Lists .

Process the CMD according to which COA is most advantageous to the applicant/recipient (A/R).

Any Medicaid application form may be used to consider eligibility under any Medicaid COA. However, additional requirements may need to be satisfied depending on the specific COA under consideration. EXAMPLE: A Form 700 used for another ABD COA may require verification. Refer to 2060 ABD Medicaid Application Processing and 2065 Family Medicaid Application Processing for acceptable application forms.