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COMAR 10.09.24.03
321 State of Maryland Medical Assistance Manual Revised July 2012 redetermination cycle” and in doing so, will generate a new redetermination packet to the discharge address. o If the assistance unit (AU) was closed on CARES during the previous month due to failure to complete the redetermination process, the MA CM should “J” Screen the closed AU number from the first day of the month in which eligibility ended. Complete the application process and, in finalization, shorten the “REDET END DATE” to 120 days from the “REDET BEGIN DATE” to allow inclusion into the automatic redetermination cycle. For an E-track child returned to an active F-track household: The MA CM for the household‟s F-track case should be contacted. If there is sufficient information for the MA CM to determine that the child qualifies as a member of the F-track AU, there is no need to initiate an unscheduled redetermination for the child. If eligible, the child‟s E-track AU is closed effective the end of the month that the MA CM became aware of the child‟s discharge from the State‟s custody to the F-track household. The child is added as a member of the F–track AU effective the first day of the following month, so the household may begin to receive any public assistance for the child as soon as possible. 5. If a transfer of the case is necessary due to the child‟s new address and living arrangements, electronically transfer the case through CARES and send a copy of the paper file to the appropriate DO and/or MA CM. Set an Alert to notify any new MA CM that the above action was completed, and forward the case for follow-up. 6. Be sure to narrate on CARES all case action in each E-track case.
III. Procedures for MA CM to Redetermine MA/MCHP Eligibility for Children
Discharged from OHP.
A. If the redetermination application is returned by the child‟s parent or representative, pend the new medical coverage group, applying all applicable rules for AU composition, HOH, etc. A face-to-face interview is not required. In “Interview”, the MA CM updates the ADDR Screen and the DEM1 Living Arrangement. The MA CM determines whether the child is living at home. The MA technical and financial eligibility factors must be met for all household members for whom benefits are requested. Since CARES will send the CARES 9708 form, the application will not collect information about other household members. 1. The MA CM will contact the child‟s parent/representative to clarify who in the household is applying for benefits and for what type(s) of benefits. The MA CM will inquire about the income and resources of any household members who are