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COMAR 10.09.24.04

329 State of Maryland Medical Assistance Manual Revised July 2012

documents and ay costs incurred by the LDSS/LHD will be paid of administrative funds.

If the application indicates that a Social Security card was issued previously, the LDSS must request validation of the number by the Social Security Administration.

(b) Required Case Activity

It is unlikely that, upon receipt of a request for MA, the local department will search the files and determine if there is already an application on file for an unexpired period. The chances are that a new application form will be issued routinely. At the point the face-to-face interview is scheduled following receipt at the written and signed new application, the CM will need to have at hand all previous applications and determine which one, if any, is appropriate for use as the reactivated application for the unexpired period.

The reactivated application is the one to be retained in the case folder. If the other applications include information that is not a part of the reactivated application, the new information should be identified and transferred to the reactivated application. The applicant should initial and date each new entry. Once this is done, the other applications are not to be invalidated and discarded.

The case summary sheet should reflect a recording of all contacts and activities and the dates for some beginning with the filing date of the reactivated application and ending on the dates for some beginning with the filing date of the reactivated application and ending on the expiration date.

400.9 Public Assistance for Adults (PAA)-MA Retroactive coverage procedures

(a) General

To be eligible for retroactive Medical Assistance coverage, a person must apply for MA and be determined eligible. This requirement includes a Public Assistance to Adults (PAA) applicant who has medical bills incurred within 3 months before the month of the PA application. In order for PAA applicants to avail themselves of this benefit, a question concerning past medical bills has been included in the PAA application (DHR/FIA CARES 9701 and MCHP application) on page 1 under the question

What type of assistance do you need now? (Check all that you need) □ Cash Assistance □ Child Care Services □ Food Stamps □ Medical Assistance - Do you have any unpaid medical bills from the past 3 months? □ Yes □ No

The CM must check to make sure that the question is answered. If the question is not answered, then the case manager must make a phone call to the applicant to:

1. Discuss past medical bills with the client and inquire as to whether he/she had medical care during the retroactive months which has not been paid for and for which there is no health insurance coverage. 2. If after discussion, the answer is “No”, no further action is taken regarding retroactive coverage. However if the answer is “Yes”,