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COMAR 10.09.24.11

1112 State of Maryland Medical Assistance Manual Revised July 2012

Section 1100 Frequently Asked Questions and Answers Certification Periods

1. What is the certification period? A certification period is the actual time the person is eligible for Medical Assistance (actual begin and end dates of eligibility). 2. When do the certification periods begin for retroactive coverage without spend-down? Certification begins on the first day of the earliest month of retroactive period under consideration in which coverable medical expenses were incurred. 3. Can a deceased person be certified for Medical Assistance? Yes, a deceased person may be certified for Medical Assistance but never beyond the date of death. 4. What are the criteria for eligible customer with no scheduled redetermination? The following with no scheduled redetermination: Those scheduled for retroactive period only Those certified under spend-down Person who dies before completion of the eligibility determination A migrant worker whose date of departure or expected date of departure from the state is known A coverable inmate of a public institution who leaves the institution solely for admission to a medical facility 5. When is the customer eligible for retroactive coverage under spend-down? Retroactive eligibility is met when the medical expenses exceed the excess income; Certification begins on the day in the period under consideration on which retroactive spend-down eligibility was met.