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COMAR 10.09.24.03

318 State of Maryland Medical Assistance Manual Revised July 2012 OHP. The child‟s OHP MA eligibility must continue until it has been determined that no other MA or MCHP eligibility exists. The MA CM at the LDSS must initiate an unscheduled redetermination. To facilitate this process and the child‟s transition from OHP to the community or a LTC facility, at most 90 days of extended MA eligibility will be granted after the child leaves the OHP, allowing time for completion of an unscheduled redetermination. The following applies when the MA CM is notified by the service worker that the child has been discharged from OHP to the community or a LTC facility (e.g. residential treatment center, hospital, nursing care facility, ICF/MR):

o The MA CM must change the redetermination end date to allow the case go to into the CARES automatic redetermination cycle. o Since the child is still in an E-track coverage group as a household of one, CARES will send the DHR/FIA CARES 9709 application, rather than the CARES 9701 or MCHP application. CARES will send the redetermined package with the current worker of record as the contact person and with that MA CM‟s district office (DO) as the completion of the unscheduled redetermination. o Income and resources will not be considered for the 90-day extension of MA eligibility but will be considered for the new period under consideration.

B. The MA CM follows these procedures to initiate the unscheduled redetermination when a child is discharged from out-of-home placement:

1. Leave the child as the head of household (HOH). Do not change information on the “DEM1” screen at this time, such as for living arrangements. Make no changes to the “UINC” screen for income or resources, except to delete the child‟s OHP income following the correct CARES processing steps or to make the changes indicated in #4 below for SSI income. Income and resources will not be considered for the extended period of MA eligibility after the discharge, only for the period under consideration for the unscheduled redetermination. 2. The “ADDR” Screen must be updated to reflect the discharge address indicated by the service worker as the child‟s new address. Delete any authorized representative information on the “AUTH REP” Screen for the OHP case. 3. After waiting at least a day to confirm that the address change has been updated on MMIS, the MA CM should process a request through CARES for a duplicate card to be issued to the discharge address for the child, using the following CARES procedures:

o From the CARES Main Menu, select option “L- Financial Mgmt Misc.” o On “LMEN” selection option “S- MA Card Reissuance” and enter the Client ID.