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Any application processing questions for this scenario should be sent to the Central Office Policy Unit for clarification. 2005.05.15 WHEN AN INTERVIEW IS REQUIRED

When a member applies for a non-MAGI category (MED 1, MED 2 or MED4), then a data gathering interview must be completed. The only exceptions to this are: LIS/MSP applications sent electronically to the eligibility system via data exchange from SSA SSI recipients SSI recipients that are adding a Medicare buy in category, such as MA L. If a member is ongoing in a MAGI category but requests a non-MAGI category, then a data gathering interview is required. This includes: Members that turn 65 Members that state that they are disabled and request to pursue a disability category Members ongoing in a HIP category that receive disability approval through SSA Members in a limited coverage category (Emergency Services Only, Family Planning or QMB/SLMB/QI/QDW) changing to a MED 1 category Paper QMB application. 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.6 2005.10.00 AUTHORIZED REPRESENTATIVES

An authorized representative is a designated individual or organization acting on the client’s behalf to assist with application and renewal services. The agency permits applicants and beneficiaries to designate an individual or organization to act responsibly on their behalf in assisting with the individual's application and renewal of eligibility and other ongoing communications with the agency. There are no restrictions on who can serve as an authorized representative including navigators, or individuals working for an enrollment center, if the member permits. Any individual working for the authorized agency may serve as the “qualified authorized representative”, regardless of which associate signs designated form.