Page 2

UNOFFICIAL 1712.1-2 provisions described in subchapter 2 of chapter 17- 1711.1. (b) The annual redetermination of an individual or household, whose Medicaid eligibility is based on modified adjusted gross income methods (MAGI), shall be completed by the department no more frequently than once every twelve months. (c) The annual redetermination of Medicaid eligibility shall be based on reliable information available to the department to include information through a federal or state database as described in chapter 17-1714.1, without requiring additional information from the beneficiary. (d) If able to redetermine eligibility based on available information, the department shall notify the beneficiary as described under the provisions of chapter 17-1713.1, of the following: (1) The eligibility redetermination decision and basis; and (2) If the information is accurate, the beneficiary is not required to sign and return the notice; or (3) If the information is not accurate, the beneficiary is required to correct, sign and return the notice. (e) If the department is unable to redetermine eligibility in accordance with paragraph (c) of this section, the department shall: (1) Send a pre-populated redetermination form containing information available to the department that is needed to redetermine eligibility, allowing at least thirty days from the date the redetermination form is sent to respond and provide any necessary information through any mode of communication under the provisions of chapter 17-1711.1; (2) Upon receipt, verify the information provided by the beneficiary; and (3) Inform the beneficiary of the eligibility decision under the provisions described in chapter 17-1713.1.