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COMAR 10.09.24.03
320 State of Maryland Medical Assistance Manual Revised July 2012 o On the AMEN Screen, the E02 AU Number will now be populated. Change the Option to “O” for Interview and process the case. o Review the ADDR Screen to assure the correct mailing address. o Remember to enter closure reason code “507” to the E01 AU on the affiliated STAT screen in order to avoid dual participation in the ongoing months. o Change the Living Arrangement Code on the DEM1 Screen to “FC”. o On the UINC Screen, delete the E01 income by placing a “y” in the delete field and pressing PF 24. From the SHEL Screen, press PF7, which will return you to the UINC Screen. On the UINC Screen, enter “SF” and $1 for unearned foster care income. Delete the “FC” or other E01 income from the UINC Screen for the ongoing month. o Continue through the “Interview” process. Upon processing eligibility, confirm and allow closure of the E01 coverage to avoid dual participation in the ongoing month. Waive any adverse action, and override any closure notification. o Back at the AMEN Screen, select “P” to Process Application Months. o Remember to “507” the E02 coverage for the current application month only to avoid dual participation with the E01 coverage already being received. o On the MAFI Screen for the ongoing month during finalization of the E02 AU, shorten the “Redet End Date” to 90 days from the “Redet Begin Date”. Complete CARES processing.
For E02, E03, or E04: The following procedures should be used to redetermine MA eligibility when a child who is certified as an E02, E03, or E04 is discharged from OHP. Using option “R” from “AMEN”, initiate and complete an unscheduled redetermination for the existing E02, E03 or E04 AU. On the “MAFI” screen, adjust the redetermination end date to 90 days from the first day of the month following the month in which the MA CM became aware of the discharge from OHP, to allow inclusion into the CARES automatic redetermination cycle. Since the child remains in the “E” track until the redetermination is completed, the CARES 9708 application will be sent, even if the child is discharged back home.
o If the discharge date is during the first nine months of the child‟s certification period, the redetermination end date must be adjusted to 90 days from the first day of the month following the month in which the MA CM became aware of the discharge from OHP. o If the discharge takes place in the last three months of eligibility, the MA CM must initiate the redetermination in the month following the month in which he or she became aware of the discharge. Complete the redetermination and shorten the “REDET END DATE” to 90 days from the “REDET BEGIN DATE”. Following this procedure will ensure that CARES begins a “new