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Example: A household consists of a mother and her child, who are both open in Medicaid. Their AG composition is identical (each is the only person included in the other’s AG, and the income counted for each AG is the mother’s). The mother’s redetermination date is in March, and the child’s redetermination is due in July. When the mother is successfully redetermined in March, we also know everything needed to redetermine the child ex parte, and the child continues to pass Medicaid eligibility. The child’s redetermination due date will be set for a new 12-month period to align with the mother. Both will be sent approval notices for a new 12-month period and will be due for redetermination again in March of the following year.

2205.10.00 SCHEDULING REDETERMINATION (ANNUAL RENEWAL) INTERVIEWS

Interviews cannot be required for MAGI or Non-MAGI Medicaid recipients who are having their eligibility redetermined due to annual renewal. (For more information, see 2205.15.00)

2205.15.00 REDETERMINATIONS (ANNUAL RENEWAL) BY MAILER

For both MAGI and non-MAGI cases, the agency makes a redetermination of eligibility without requiring information from the individual when possible. The redetermination is based on reliable information contained in the individual’s account or other more current information available to the agency (such as data from The Work Number or the Asset Verification System). (see 2205.00.00),

If the agency is unable to automatically redetermine the eligibility of the individual, then an Eligibility Review Form (redetermination mailer) is sent.

Renewal Forms When an individual cannot qualify for ex-parte (automatic) renewal, they will be sent a prepopulated mailer which tells them what information we currently have for them, asks them to tell us of any changes, and requires verification of noted eligibility factors subject to change. If more than one member of a Medicaid assistance group is due for renewal, a combined form will be sent. The form will include a due date of 30 days from the mailing date.

Note: If one member of the household qualified for ex-parte renewal and one member is required to complete the form, and the form is not returned, there will be no negative eligibility impact to individual who was ex-parte renewed.

Renewal forms may be completed by any of the following methods:

• By completing and signing the form by hand and mailing, faxing, or taking the form and any other required documentation to the DFR • By completing and signing the form by hand and uploading the form and any other required documents to the member’s online Benefits Portal account