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COMAR 10.09.24.04

318 State of Maryland Medical Assistance Manual Revised July 2012

(1)Due Date for Verifications

The LDSS/LHD CM must inform the A/R in writing of the required information and verifications to determine eligibility and the due date. The A/R, in turn must provide all required information and verifications early enough for the LDSS/LHD CM to meet the 10-30 or 60 day-day limit. If an applicant does not provide the required information to enable the LDSS/LHD CM to determine eligibility within the applicable time frame, the applicant may be determined ineligible. However, an extension of time frame standards is required of the LDSS under certain circumstances. For Instructions or when to apply these standards refer to the section entitle “Extension of Time Standards.”

(2)Required Verifications

The various factors affecting eligibility that may require verification are listed, along with the method of verification, in Appendix A of this section 400. While some factors can be verified in a number of ways, others (such as income and resources) require verification from a specific source. The following factors call for special comment.

As general rule, written verification should be signed and dated. The document should also include the name, address, and telephone number of the person providing the verification. LDSSs are authorized by the A/R’s signature on a Consent of Release of Information form to contact a signatory and verify the validity of a statement.

SDX/SVES/SOLQ Verifications- The following information is verified by the LDSS through the State Data Exchange (SDX), State of Verification Exchange System (SVES), or State on-Line Query (SOLQ). Hard-copy verification from the A/R is only necessary if there is any discrepancy.

Date of birth Social Security number Supplemental Security Income (SSI) benefits Social Security benefits Railroad Retirement benefits Medicare entitlement and enrollment Medicare number Citizenship and Identity (Please refer to chapter 500 verification of citizenship and identity for listings of acceptable verification)

SAVE Verification of Alien Status- If the applicant indicates that he/she is not a U.S. Citizen but is a legal entrant, the LDSS/LHD uses the Systematic Alien Verifications for Entitlements (SAVE) system in order to verify the alien status, most recent date of U.S. entry, and date of qualified alien status. If no discrepancy is found, hard-copy verifications by the A/R are not required. Verifications of Alien status either SAVE or from the A/R are not required for an alien applying for only emergency medical services.