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COMAR 10.09.24.04
317 State of Maryland Medical Assistance Manual Revised July 2012
contradictory or different than information obtained from the clearances. If the LDSS/LHD CM has any reason to question the information represented by the A/R on the application or at the interview, or if the information presented in contradictory, incomplete, vague, or incomprehensible, the case manager should request additional information or verification from A/R.
a. Verifications by the A/R of the following information is always required in addition to the declaratory information provided by the A/R on the Medical Assistance application form: Income: Verification of income is no longer mandatory for the F-Track coverage groups Income must be verified for all other coverage groups Resources: All resources will be verified for all coverage groups. Resources will not be verified for the F-Track group, except for F98 and F99. Private health insurance or other third party medical coverage (request a copy of the front and back of the insurance card) Additional information as needed Age/Identity/Citizenship Note: F05 and MCHP are declaratory for income and most verification. Citizenship and Identity are still needed
b. The CM should only ask the A/R for verification of other information if: The CM requires additional information in order to determine technical or financial eligibility (e.g. the information provided by the A/R is incomplete or unclear or there is a discrepancy) The CM has no other source to obtain the needed information or to verify certain information on the application; and The information or verification may have an immediate bearing on the case or may impact eligibility.