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COMAR 10.09.24.03

319 State of Maryland Medical Assistance Manual Revised July 2012 o On “MACR” (MA Card Reissuance) Screen, verify information and select “Y” in the “Reissue Another Card” field. Press Enter to commit the request. o CARES will return to “LMEN” with a message of “Insert Successful”. o Update the case narrative to reflect the duplicate card request.

4. For E01: A redetermination cannot be initiated on an E01 assistance unit (AU). Therefore, the redetermination end date cannot be shortened/changed on the MAFI screen, and CARES will not send a redetermination packet. The following procedure should be used to redetermine eligibility when a child, who is certified as an E01, is discharged from OHP.

o Check SDX/SVES for whether the child is currently receiving Supplemental Security Income (SSI). o If the child is an SSI recipient, redetermine eligibility from E01 to S02 effective the 1st day of the next month, either through “Add A Program” or by “J” screening the child‟s old SSI S02 AU. o Review the ADDR screen to assure the correct mailing address. Update accordingly. o Change the Living Arrangement code on the DEM1 screen to “AH”. o Delete all unearned income on the UINC screen. o Add the child‟s SSI income back on the UINC screen as “SI”, and also enter any other verified countable income (e.g., child support, SSA, etc.) with the correct coding. o If necessary during processing, waive adverse action to assure that the begin date for S02 eligibility is effective the 1st date of the following month. o In order to avoid dual participation, the MA CM must “507” the pending S02 AU while processing the application month. o Finalize the S02 AU and review the eligibility begin date. o Fully narrate.

If the child does not receive SSI, change the coverage group from E01 to E02 so that an unscheduled redetermination can be initiated. This can be performed through Option L on the AMEN Screen via “Add-a-Program” to the existing E01 AU or by “J” screening a previous E02 AU. o On the KIND Screen, place a “y” in the selection field for MA. o Continue through “Add-A-Program”. On the CIRC Screen under unearned type/amounts, enter “SF” as the valid value for FAC foster care income (OHP Income) and $1 as the amount value. This will cause the proper coverage group to populate on the INCH Screen. o On the INCH Screen, place a “y” in the selection field for E02 Med Coverage Group. Enter the current date as the application date, when the coverage group is changed from E01 to E02. o Proceed through “Add-A-Program” screens to completion.