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COMAR 10.09.24.01-.16 1721 State of Maryland Medical Assistance Manual Revised July 2012
unless the recipient requests a hearing in accordance with Regulation .13 of this chapter.
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COMAR 10.09.24.01-.16 1721 State of Maryland Medical Assistance Manual Revised July 2012
unless the recipient requests a hearing in accordance with Regulation .13 of this chapter.
(i) Eligible Persons. Persons who are determined eligible for a new period under consideration shall be sent notice in accordance with §A(1) of this regulation.
(ii) Ineligible Persons. Persons determined ineligible shall be sent notice in accordance with §A(2) of this regulation.
(i) When ineligibility is due to excess income only, the person will be provided with an explanation of the spend-down provision. Spend-down eligibility may be established at any time during the new period under consideration.
(2) Unscheduled Redetermination.
(a) The local department of social services shall promptly make unscheduled redetermination when:
(i) The person's circumstances suggest future changes which may affect eligibility before the due date of a scheduled redetermination;
(ii) Relevant facts or changes in circumstances are reported by the recipient or someone on his behalf; or
(iii) Relevant facts or changes are brought to the attention of the local department of social services from other responsible sources.
(b) The local department of social services 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.
(c) The local department of social services shall notify the recipient of the required information and verifications needed to determine eligibility and the time standards in acting in the redetermination process.
(d) The local department of social services shall require the recipient or his representative to appear in person unless the local department of social services has determined that a face-to-face contact is not necessary to make an accurate eligibility determination.
(e) All non-financial and financial factors for continuing eligibility shall be met. (f) Eligibility Decisions. (i) 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.
(ii) Recipients Determined Ineligible for the Remainder of the Certification Period. Recipients