Denial and Reapplication

Official source

If a WHM case has been denied less than 90 days or hasn’t received Presumptive Eligibility within the last two years, the A/R can reapply with DFCS using the Form 94 - Medicaid Application. In addition to the Form 94, the A/R must submit a Form Physician’s Statement of Treatment or a Certificate of Diagnosis. Either of these forms must be less than 30 days old. The RSM worker will screen in GAMMIS or Gateway to verify previous eligibility of WHM. If the member does not show in GAMMIS or Gateway, a copy of the original presumptive WHM application must be obtained before the reapplication can be completed.

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Denial and Reapplication

Official source

If a WHM case has been denied less than 90 days or hasn’t received Presumptive Eligibility within the last two years, the A/R can reapply with DFCS using the Form 94 - Medicaid Application. In addition to the Form 94, the A/R must submit a Form Physician’s Statement of Treatment or a Certificate of Diagnosis. Either of these forms must be less than 30 days old. The RSM worker will screen in GAMMIS or Gateway to verify previous eligibility of WHM. If the member does not show in GAMMIS or Gateway, a copy of the original presumptive WHM application must be obtained before the reapplication can be completed.