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COMAR 10.09.24.11

1101 State of Maryland Medical Assistance Manual Revised July 2012 1100.1 Introduction - Certification Periods

A certification period is the period of time a customer can be active before the next renewal is due. For income purposes, the certification period, is the time period for which income is calculated to determine income eligibility, as well as the premium or spend-down .

1100.2 Certification Periods for Non-Institutionalized Persons

Units determined eligible are to be certified in accordance with the applicable certification procedures which follow. All cases (excepting persons certified under the Pickle Amendment) will be recorded as one- time-only certifications, but a majority of these cases require a Local Department-initiated, scheduled redetermination of eligibility. In addition, all current eligibility cases are subject to unscheduled redeterminations whenever there is a reason to anticipate a change in circumstances of the unit (including a change in circumstances of non-unit members whose income and resources are considered) or when a change in circumstances is reported.

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Page 2

Official source

COMAR 10.09.24.11

1101 State of Maryland Medical Assistance Manual Revised July 2012 1100.1 Introduction - Certification Periods

A certification period is the period of time a customer can be active before the next renewal is due. For income purposes, the certification period, is the time period for which income is calculated to determine income eligibility, as well as the premium or spend-down .

1100.2 Certification Periods for Non-Institutionalized Persons

Units determined eligible are to be certified in accordance with the applicable certification procedures which follow. All cases (excepting persons certified under the Pickle Amendment) will be recorded as one- time-only certifications, but a majority of these cases require a Local Department-initiated, scheduled redetermination of eligibility. In addition, all current eligibility cases are subject to unscheduled redeterminations whenever there is a reason to anticipate a change in circumstances of the unit (including a change in circumstances of non-unit members whose income and resources are considered) or when a change in circumstances is reported.

(a)Eligibles with no Scheduled Redetermination#

(a) Eligibles with no Scheduled Redetermination

The following eligible persons are to be certified for a one-time-only period of 6 months or less and scheduled redetermination for continued eligibility will not be made:

Those who are certified for a retroactive period only, including retroactive spend-down; Those who are certified under the spend-down provision; A person who dies before the completion of the eligibility determination; A migrant worker whose date of departure or expected date of departure from the State is known; and A coverable inmate of a public institution who leaves the institution solely for admission to a medical facility.

In all non-redetermination cases, eligibility beyond the certification period can be gained only through a client-initiated reapplication.

(b)Eligible with Scheduled Redetermination#

(b) Eligible with Scheduled Redetermination

Eligible persons not certified under the provisions of the preceding section are to be certified for a one-time-only period and scheduled redetermination of eligibility will be made.

1100.3 Date for Certification to Begin and End for Non-Institutionalized Persons

(a) Retroactive Spend-Down Eligibility

Certification begins on the day in the period under consideration on which retroactive spend-down eligibility was met.