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COMAR 10.09.24.12
1201 State of Maryland Medical Assistance Manual Revised July 2012
Post Eligibility Requirements
1200.1 Introduction Post-Eligibility Requirements
(a) Notice of Eligibility Determination.
The Local Department of Social Services (LDSS) shall inform an applicant of his/her legal rights and obligations and give the applicant written notification of the following:
For eligible persons: A finding of eligibility, the beginning, and ending dates for coverage; and The right to request a hearing.
For ineligible persons: A finding of ineligibility, the reason for the finding, and the regulation supporting the finding; and The right to request a hearing. (b)Recipient Responsibility A recipient or his/her representative shall notify the LDSS within 10 working days of changes affecting the eligibility of a member of the assistance unit. A recipient or his representative shall limit use of the Medical Assistance card to the person whose name appears on the card. Third-Party Liability.
o A recipient or his/her representative shall notify the LDSS within 10 working days when medical treatment has been provided as a result of any accident or other occurrence in which a third party might be liable. o Recipients shall cooperate with the LDSS in completing a form designated by the Department to report all pertinent information that would assist the Medical Assistance Compliance Administration (MACA) in seeking reimbursement. o In accident situations, recipients shall notify the LDSS of the time, date, and location of the accident, the name and address of the attorney, the names and addresses of all parties and witnesses to the accident, and the police report number if an investigation is made.
When written notice of cancellation is received, a recipient shall discontinue use of the Medical Assistance card on the first day of ineligibility. Failure to comply with the provisions of §B (1), (2), and (3) of this regulation may result in the termination of assistance.