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COMAR 10.09.24.04
311 State of Maryland Medical Assistance Manual Revised July 2012
“Do you know what information you need to send/bring in? “Do you understand all that we talked about?”
CM must report on the number of telephone interviews completed, it is important that CM code and document to capture when the interview is completed by phone
(2) Interviewing Responsibilities of the CM
The CM has both the authority and responsibility to ask questions beyond those stated on the application form when appropriate for an accurate determination of eligibility. The questions should better enable the CM to:
Analyze the information provided Collect additional information ( letter will be mailed describing additional information to bring) (Appendix A) Reconcile inconsistencies Discuss potential entitlement to benefits not being received and to refer for an application of benefits Inform the A/R of his/her responsibility for the accuracy and completeness of the information provided Explain the various assistance unit choices and exclusion options to the A/R and engage him/her in the decision-making process Make the necessary adjustments on the application form based on the A/R’s selection options; Obtain all required signatures on the application; Establish separate cases as needed based on the choices of the A/R and the provisions of Regulation .06; and Perform whatever other tasks are needed.
It is important that:
1. The CM’s time be used in the most efficient manner: 2. Persons who are capable, take responsibility for the completion and signing of original application is reactivated and sets the period under consideration and their Application; and 3. Appropriate assistance is provided to persons who are not capable of taking responsibility for completing their own application. The CM may, however, apply reasonable and practical measures to encourage applicants to speed up the application process for their own benefit and that of the LDSS CM assisting those applicants who need help in establishing their eligibility and who have no responsible person to act on their behalf. Local departments will need to: Provide applicants with a clear explanation of the information needed to establish eligibility, why it is needed, and how it will be used;