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COMAR 10.09.24.04

300 State of Maryland Medical Assistance Manual Revised July 2012

Section 400 Table of Contents Application Requirements 400.1 Introduction-MA Application Process (Form) (a) Provision of Public Information (b) Representative (c) Application Date

400.2 Persons Eligible without filing a separate application (a) Recipients of Public Cash Assistance (b) Child Born on or after 10/1/1984 to a MA-Enrolled Mother (1) Certification Procedure for the Newborn Effective 6/1/1985 (2) Certification Procedure for the Newborn of Temporary Cash Assistance (TCA)

Recipient 400.3 Person Required Filing an Application

400.4 General Requirements for Establishing Eligibility (a) Signature Requirements for Establishing Eligibility (1) Family and Children (FAC) Unit Signature Requirements (2) Aged, Blind, or Disabled (ABD) Unit Signature Requirements

400.5 Voluntary Withdrawal

400.6 Eligibility Determination Process (a) Face to Face Interview ( no longer required) (1) Telephone Interviewing Tips (2) Interviewing Responsibilities of the CM Attachment A- Request for Information to Verify Eligibility (b) 401Waiver of Face to Face with the Representative (c) Exploring Alternative Avenues of Eligibility (d) Screening Applications for MA Extension (F02 and F03) (e) Verification Requirement

(1) Due Date for Verification

(2) Required Verification (3) Declaration of Information if Confirmed Impediment to Timely Verifications (f) Reapplication (Reactivation following Rejection of an Application (g) Extension of Time Standards (1) Explanation (2) Explanation of Justification Requirements for Extension of Time (h) Retroactive Eligibility (i) Retroactive and Current Periods