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COMAR 10.09.24.01-.16 1634 State of Maryland Medical Assistance Manual Revised July 2012
(b) The applicant/representative shall provide all information and requested verification for the determination of nonfinancial, income and resource eligibility, including information relating to health insurance coverage or potential third-party payments, early enough for the Department or its designee to meet time limitations.
(c) When an applicant completes the application form and requests coverage for:
(i) The current period, verification of all elements of eligibility may be required for the current period;
(ii) The retroactive period, verification of all elements of eligibility may be required for the retroactive period; or
(iii) Both the retroactive and current periods, verification of all elements of eligibility may be required for both the retroactive and current periods.
(d) When an applicant fails to complete the application form, or fails to provide the required information and verification to determine eligibility within the applicable time frame, the applicant shall be determined ineligible.
(4) Extension of Time Standards.
(a) The time standards specified in §J(1) of this regulation shall be extended to allow the applicant sufficient time to complete provision of information when:
(i) The examining physician delays or fails to take a required action;
(ii) The applicant is actively attempting to establish his eligibility but has been unable to provide the required information through no fault of his own; or
(iii) There is an administrative or other emergency beyond the control of the Department or its designee.
(b) The Department or its designee shall document the reason for the delay in the applicant's record. The extension of time will continue as long as the requirements of §J(4)(a) of this regulation are met. The Department or its designee shall deny Medical Assistance when these requirements cease to be met. When a subsequent application is made, eligibility and period under consideration shall be determined under §J(7), (8), (9), or (10) of this regulation.
(5) The standards of promptness for acting on applications may not be used to deny assistance except as provided in §J(4)(b) of this regulation.
(6) The standards of promptness for acting on applications may not be used as a waiting period for granting assistance to eligible persons.
(7) Disposition of Application Following a Decision of Ineligibility. If an applicant is determined ineligible for the current period under consideration:
(a) Due to a nonfinancial factor or excess resources, the application shall be disposed of and the