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COMAR 10.09.24.03

313 State of Maryland Medical Assistance Manual Revised July 2012 historically to the beginning of the month of OHP, the family may have to repay TCA and/or FS assistance received on the child‟s behalf for that month. o If the child is active for MA in the month of OHP as a member of a TCA, MA, MCHP, and/or FS AU, change the living arrangement to “NO” on the child‟s DEM1 screen for the ongoing month. This includes SSI-eligible children. If the child is an active SSI AU (S02), the child‟s S02 AU must be closed then immediately processed under the E01 eligibility, in order to indicate foster care/subsidized adoption eligibility and to take advantage of the special HealthChoice rules and assistance for E-track children. o If the child is a member of a pending TCA, MA and/or MCHP AU in the month of OHP, make the living arrangement change effective the month of placement. o If the child is an active or pending FS-only AU in the month of OHP, change the living arrangement for the ongoing month. o For any of the above instances, two narrations must be completed on CARES. Narrate on the TCA, FS, or MA NARR screen from which the child is being removed, as well as the NARR screen of the E-track MA eligibility case.

If this is an initial MA application for a child who does not have an existing active or pending TCA, MA, MCHP, and/or FS AU, pend the appropriate E- track coverage, narrate, and determine eligibility as of the month of OHP.

4. Determine MA eligibility in the appropriate E-track coverage group, as follows:

Finalize MA eligibility as soon as possible (within the 30-day time Limitations), for either the current month or the ongoing month (see #3 above), even if the child support or IV-E eligibility information is not yet available. The child support information may be added later to the CARES screens when it becomes available. Any income from child support must be coded as “ON” so it will not affect the child‟s MA eligibility. If the child is SSI-eligible or confirmed as IV-E eligible by the IV- E specialist, the MA CM should finalize the case in E01, including closing an SSI-eligible child in S02. If the child is not eligible for IV-E or SSI or the IV-E specialist has not determined IV-E eligibility by the time that the MA CM finalizes the case, the MA CM should determine eligibility in E02. If the child is not eligible for E01 and E02, the MA CM should “Add-A-Program” or “J” Screen an existing AU for the State-only category of: o E03 if the child is receiving foster care assistance; or o E04 if the child is receiving subsidized adoption services.