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COMAR 10.09.24.03

307 State of Maryland Medical Assistance Manual Revised July 2012 The applicant may be assisted by the person of their choice including the local department staff. The date of application is the date on which a signed application form is received by the local department (mailed or hand delivered). Regarding processing application time limitations for the LHD, a decision shall be made promptly, but no later than 10 days from the date of application. As for the LDSS, a decision shall be made promptly, but not later than 30 days from the date of application. The certification period for a child in MCHP is 12 months.

Redetermination

Redeterminations for MCHP cases will be mailed every 12 months with the exception of pregnant women cases. There are no redeterminations for pregnant women since pregnancy status is not continuous. Voluntary Withdrawal An individual who has filed an application may voluntarily withdraw that application at any time. In this event, the application will remain the property of the LHD or LDSS. When an application is withdrawn, a new application may be filed the following month and a new period under consideration is established.

Application Denied

When an application is denied, a new application may be filed the following month. (d) Foster Care & Subsidized Adoptions (E-Track) The Title IV-E foster care and subsidized adoption program was created by U.S. Public Law 96- 272 as set forth in Title IV, Part E of the Social Security Act. The purpose of Title IV-E foster care program is to prevent the unnecessary placement of children from low-income families by offering states fiscal incentives for providing preventive services. The purpose of Title IV-E subsidized adoptions program is to ensure that “Special Needs” children who are difficult to place in adoptive homes do not remain in foster care solely for financial reasons. In Maryland, “Special Needs” is defined as any one of the following:

Age six or older after November 1984 or two years old prior to November 1984; A member of a minority race; A member of a sibling group; Physically or mentally handicapped or emotionally disturbed; A child with a high risk of physical or mental disease.