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COMAR 10.09.24.12

1213 State of Maryland Medical Assistance Manual Revised July 2012 (7) Social Security Number (SSN) Not on SDX entries on Closing List

When there is a discrepancy between the SSNs, an SDX name search should be completed to determine the correct SSN. If the correct SSN is discovered on the SDX: Update the “DEM1” screen on CARES with the correct SSN. CARES should update MMIS II with the correct SSN. If the name still appears on the closing list as SSN not on SDX during the following week: Submit a C-TAD to DHMH so that the SSN can be manually updated on the MMIS II.

(d)Unscheduled Redeterminations The LDSS shall promptly make an unscheduled redetermination when:

o The person‟s circumstances suggest future changes which may affect eligibility before the due date of a scheduled redetermination. o Relevant facts or changes in circumstances are reported by the recipient or someone on his/her behalf; or Relevant facts or changes brought to the attention of the LDSS from other responsible sources.

The LDSS shall notify the recipient that redetermination is required to establish continuing eligibility. Notification will be sent in a timely manner so that a decision of eligibility will be made within 30 days from the date of change. The LDSS shall notify the recipient of the required information and verifications needed to determine eligibility and the time standards in acting in the redetermination process. The LDSS shall require the recipient or his/her representative to appear in person, if the LDSS has determined that a face-to-face contact is necessary to make an accurate eligibility determination. All non-financial and financial factors for continuing eligibility shall be met. Eligibility Decisions:

o Eligibility Continued for the Remainder of the Certification Period: Recipients who are determined eligible for the remainder of the certification period will be sent notice in accordance with §A(1) of this regulation. o Recipients Determined Ineligible for the Remainder of the Certification Period: Recipients determined ineligible for the remainder of the certification period because of a change in circumstances or failure to establish eligibility following a change in circumstances, shall be sent notice in accordance with §A(2) of this regulation.

A person may reapply at any time after the cancellation of current eligibility and a new period under consideration will be established.