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2000.00.00 APPLICATION PROCESSING

At the end of the application registration process, client scheduling should take place to schedule an interactive interview. The policies in this chapter pertain to the processing of new applications after the application registration and interviewing scheduling processes have occurred. The Federal Health Insurance Marketplace and the State Medicaid Agency will be coordinated in their eligibility determinations of individuals that follow the application process through the Marketplace or the DFR. The following sections are contained in this chapter:

• The Interview (Section 2005) • Responsibilities of the Applicant/Recipient (Section 2015) • Application Time Standards (Section 2020) • Verification (Section 2025) • Concluding the Interview/Providing Information (Section 2030) • Determination of Initial Eligibility (Section 2035) • Reapplications (Section 2040) • MSP Applications from SSA LIS Data File (MED 4) (Section 2050) 2005.00.00 THE INTERVIEW (MED 1, MED 2, MED 4) This section does not apply to the following applicants who are exempt from the personal interview requirement. Applicants for MAGI coverage (any MED 3 category) LIS/MSP applicants sent electronically to the eligibility system via data exchange from SSA SSI recipients MASI recipients adding a buy in category An interactive interview is required for all other individuals who apply, including a paper application for QMB/SLMB/QI/QDW coverage.1 It may not be known at the application point whether the applicant will have eligibility determined under a MED 3 category or another applicable category. Once it is known that MED 3 is not applicable, an interview appointment notice must be sent to the applicant and any authorized representative. Refer to IHCPPM 2005.05.10. The interviewee being considered for MED 1 or MED 4 coverage may choose to be evaluated for either or both categories during the interview. Applicants who fail to keep the initial interview for MED 1 must be assessed to determine if they qualify for coverage under a MAGI category