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State of Maryland Medical Assistance Manual Revised April 2014

2. Leave the child in the “T” track. Remember: Leave the child as the head of household and use the discharge address indicated on the DES 1000 form as the community address. Income and assets will not be considered for the child until the redetermination is completed by the LDSS CM. 3. On the “MISC” screen adjust the redetermination end date to 90 days from the first day of the month following the month in which the Financial Agent or MA Waiver Division CM became aware of the discharge, to allow inclusion into the CARES automatic redetermination cycle. Please Note: • If the discharge date is during the first nine (9) months of the child’s certification period, the redetermination end date must be adjusted according to number 3 above to allow inclusion into the CARES automatic redetermination cycle. • If the discharge takes place in the last three (3) months of eligibility, the Financial Agent or MA Waiver CM must initiate the redetermination in the month following the month in which he or she became aware of the discharge. Complete the redetermination and adjust the “REDET END DATE” to 90 days from the “REDET BEGIN DATE.” • Following this procedure will ensure that CARES begins a “new redetermination cycle”, and in doing so, will generate a new redetermination packet to the discharge address. Since the child is still in the “T” track, the CARES 9708 application will be sent, even if the child is discharged back home. • If the AU has closed on CARES during the previous month, due to failure to complete the redetermination process, the Financial Agent or MA Waiver CM should “J” Screen the closed AU number from the first day of the month in which eligibility ended. Complete the application process and, in finalization, adjust the “REDET END DATE” to 120 days from the “REDET BEGIN DATE” to allow inclusion into the automatic redetermination cycle.

4. Transfer the case to the appropriate LDSS’s MA District Office. 5. Set an Alert to notify the LDSS CM that the above action has been completed and forward the case to the District Office for follow-up. 6. Be sure to narrate all case action.

Procedures for LDSS MA CMs 1. For quality assurance purposes, the LDSS CM must set an Alert to review the transferred “T” track case by at least 30 days before the end of the 90-day certification period. 2. If the redetermination application is returned by the child’s parent or representative, determine whether the child is living at home. If so, mail a CARES 9701 to the parent/representative, specifying and highlighting the sections to complete, which are not included on the CARES 9708. Complete the application process, applying all applicable rules for assistance unit composition (HOH, etc.).