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already pending, the processing will continue including the MSP determination as usual. If a full coverage Medicaid application for the individual is received after the MSP application is set up, the date of the application for full coverage Medicaid would be the date that the full coverage application was received. For LIS approvals, SSA’s verification of the following income types is acceptable verification unless there is a known discrepancy: Social Security, retirement pension, VA, and Railroad Retirement. A discrepancy would include differing information from SSA than existing information on the individual from a previous case or the BENDEX match. All discrepancies must be resolved. If the total of these income types for the applicant and spouse cause MSP to fail and there is no discrepancy, the application can be denied for excess income without follow up.
EXCEPTION: If the household size is more than two if there is a spouse or more than 1 if there is no spouse, then household composition must be obtained from the applicant to determine if there are dependent children under the age 18 and thus the applicant might be financially eligible. Income of the dependent children must be verified as well. All other income and resources listed on the LIS/MSP data file must be verified, and for non- adjudications, none of the LIS income or resource information is acceptable verification for MSP. If the application cannot be denied for excess income as explained above, follow up verification must be obtained. The information from the LIS/MSP data file other than the unearned types is considered leads data, but it is not complete in all circumstances to make an accurate eligibility determination for the MSP.
The new form, Medicare Savings Program – Application Information (State Form 54211), must be included with the Form 2032 when requesting verifications. This form includes the program rights and responsibilities. Citizenship does not have to be verified under existing Medicaid rules. However, it may be possible for an applicant to be a lawful immigrant, and this is not denoted on the LIS/MSP data file. Therefore, the following question must be entered on the 2032: “Are you a citizen of the U.S.? If you answer no, please attach of copy of your immigration document showing your lawful resident status”. The LIS/MSP data file transmits mailing address not residence address. Therefore, Indiana residence must be verified. In addition to checking the “residence” box on the 2032, enter the following: “Is your households address the same as your mailing address? If no, please provide your household address”.