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before an application is denied. Such applicants (unless a LIS/MSP application was sent from SSA) should not be selected for QMB/SLMB/QDW/QI coverage if the personal interview was not completed before the application expired. Category changes: A data gathering interview must also take place for a category change in the following circumstances: A limited coverage category (Emergency Services Only, Family Planning Only, or QMB/SLMB/QI/QDW) changing to a MED 1 category A MAGI category (HIP, HHW) which disregards resources changing to a category which requires a thorough review of all applicable resources (MED 1, MED 4) MASI coverage based on receipt of SSI changing to another MED 1 category due to loss of SSI status or to the circumstances described in IHCPPM 2414.10.20 for widow/ers and Disabled Adult Children. The only exception is for a member who was interviewed for a MED 1 category but was dual processed (conditionally authorized in HIP pending a disability decision). If such a member completed the MA D personal interview within the past 90 days, a new interview is not required, and a pending verification request may be sent for updated resource amounts and any other changes. 2005.05.00 COOPERATION WITH THE ELIGIBILITY INTERVIEW AND RESCHEDULING (MED 1, 2, MED 4)
An application is to be denied if an individual does not cooperate with the interview requirement. Refusal is determined when the AG can cooperate but clearly demonstrates a refusal to be interviewed. Applications are to be denied on the 30th day (or next business day when the 30th day is a non-business day) when the applicant has failed to keep scheduled appointments or to reschedule an appointment by the 30th day.
If there is any question as to whether the household has merely failed to cooperate, as opposed to refused to cooperate, the household should not be denied, and the agency should aid complete the interview requirement.2 If the individual contacts the DFR to reschedule, the interview should be rescheduled as soon as possible to stay within processing time frames. A copy of written notices to reschedule should be kept in the case record. Appointments scheduled by phone should be documented in Running Record Comments.
2005.05.10 WHO CAN BE INTERVIEWED