Page 13

COMAR 10.09.24.03

312 State of Maryland Medical Assistance Manual Revised July 2012 Screen the child in the appropriate E-track coverage group, using Option “J” on the AMEN Screen in CARES. o Use E01 only if it is confirmed that the child is IV-E or SSI eligible. o Use E02 for all other foster care or subsidized adoption placements. o CARES does not trickle properly from E01 or E02 to E03 or E04. Therefore, “Add-A-Program” or “J” Screen an existing AU for E03 if a foster care child is not eligible for E01 or E02. For a subsidized adoption child, “Add-A-Program” or “J” Screen an existing AU for E04 if the child is not eligible for E01 or E02. For instance, in option “J” screening for E02, use income type: SF-State subsidized Foster Care and include $1 as the payment amount on the CIRC screen. (C) Interview After properly screening and pending the child in the appropriate E-track MA coverage group, select option “O” to complete the “Interview” process on CARES. The MA CM should never bypass this step. Option “O” is necessary because the CARES system performs a “copy back” function of information between the ongoing month and the processing months. 1. An “interview” is conducted between the service worker and the MA CM through a paper application rather than face-to-face interview. The DHR/FIA CARES 9708 is used as the MA application. The MA CM is responsible for establishing and maintaining the MA case record. The MA CM enters the information into CARES for the E-track MA AU created during the “J” screening process. 2. For the E-track AU, be sure to enter the child‟s appropriate living arrangement code on the DEM1 screen. o If the child is either IV-E or SSI eligible, enter the living arrangement as: “SE” Subsidized Adoption, IV-E. o If the child is neither IV-E nor SSI eligible, enter the living arrangement as: “FC” Foster Care, Non IV-E; or “SA” State Subsidized Adoption, Non IV-E. o Do not use the valid value “AH”, At Home, for children placed in foster care or State subsidized adoption. o Complete all the necessary information to include Parental Status and the correlating Absent Parent screens, when applicable. o Use caution when processing Subsidized Adoption cases, because absent parent information is not necessary.

3. If there is an active AU with the child as a member in another program (e.g., TCA, FS), contact the Worker of Record for the TCA/FS/MA/MCHP case to request that the child be removed from the existing AU as of the end of the current month. The entire AU may need to be closed if there are no remaining TCA eligible children. If the child is removed from the existing AU