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• If determined to be eligible for Medicaid, the person will be able to select a Medicaid provider(s) of his choice or19, if he is in a managed care category, he must select a health plan. • Discuss the medical assignment and explain that the free service of paternity establishment is not available for children who are found eligible under Package C. • Discuss the premium requirements of MEDWorks for disabled applicants who are working.
2035.00.00 DETERMINATION OF INITIAL ELIGIBILITY This section discusses policy for:
• Disposition: The initial determination of eligibility or ineligibility. • Date of entitlement: The initial date of eligibility for assistance.
Refer to Chapter 2200.00.00 for determination of on-going eligibility, redeterminations, and certification periods. 2035.10.00 REASONABLE COMPATIBILITY OF INCOME
Reasonable compatibility standards will be used to address situations where an applicant/recipient’s self-attested information and electronic sources of information are inconsistent.20
Self-Attested Income Income Obtained from the Work Number or other electronic sources Worker Action Below the Standard Below the standard Use the reported income. No further proof is needed. Below the standard Above the standard Refer to the Reasonable Compatibility section below. Above the standard Below or above the standard Use the reported income. No further proof is needed. Note: below is applicable at any time, including application, redetermination, reported change, etc. • If an individual attests to income below the Medicaid or S-CHIP applicable income standard and if electronic data on income is unavailable, further documentation will be required from the applicant.