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COMAR 10.09.24.03

322 State of Maryland Medical Assistance Manual Revised July 2012 applying or who are considered as Non-Members (NM) of the AU. 2. If necessary, the MA CM mails the CARES 9701 application to the parent/representative, specifying and highlighting the sections to complete (including signatures) that are not included on the CARES 9708 (for children considered as a household of one in an OHP, a LTC facility, or a home and community-based services waiver). 3. For the application month of the household‟s new AU, the “FINL RESP” code for the child must be entered as “NM” to avoid dual participation and insure that eligibility is determined correctly for any other AU members. If the MA CM determines that the child is eligible for MCHP in the P-track and there is no associated case (e.g. Food Supplement Program), the MA CM will change the D.O., electronically transfer the active P-track case, and mail a copy of the paper records to the appropriate LHD. If the MA CM determines that the child is eligible in a MA community or LTC category, or if there is an associated case for an MCHP AU (e.g. Food Supplement Program), the AU remains active at the LDSS. If the child moves into a household currently receiving TCA or if the HOH applies and is found eligible for TCA benefits for the child and other household members, the child‟s MA coverage may need to be changed to the “F” track before the end of the 90-day extended certification period. Then, the family may receive TCA and perhaps also FS benefits for the child as soon as possible, and for any other newly enrolled household members. If the child is discharged from OHP to a LTC (including an RTC or transferred to another D.O. and/or MA CM for a MA LTC eligibility determination. If it is determined that MA eligibility no longer exists for the child, the parent/representative must receive timely and adequate written notification, and the opportunity to request a hearing. A foster care child who is in the E03 State-only category because the MA citizenship requirements are not met will not be MA or MCHP eligible when discharged from the State‟s custody.

B. If the redetermination application is not received by the end of the extended certification period, even after reminder notices, CARES will close the child‟s AU due to failure to complete the redetermination. The procedures in section 12 for tardy redeterminations apply if the application for continued eligibility is returned within four months of the redetermination due date, or if a new application is filed within that time frame.

IV. Procedures for the MA CM to Follow When a Child is Aging-Out of Benefits for Out-of-Home Placements.