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COMAR 10.09.24.04

331 State of Maryland Medical Assistance Manual Revised July 2012

400.12 Wage Screening Inquiry

The LDSS/LHD is required to conduct a wage-screening inquiry to determine wages, benefits, and claimant history for each of the following: Effective 7/1/2008 verification of income for FAC coverage is no longer mandatory however; income must be verified for all other coverage groups. An applicant shall sign consent forms as needed authorizing. The department or its designee is to verify other sources such as employer, banks, and public or private agencies. This information is needed to establish eligibility. All ABD person younger than 70 years unless the person:

a. Resides in an LTC facility; b. Is chronically ill and non-ambulatory

400.13 Case Record Management

The LDSS/LHD must maintain a case record, including documentation of all requirement elements or eligibility, name of the applicant (and spouse, if any). The case record must be maintained while it is an active Medical Assistance case and for an additional period of 2 years after the case close then it may be destroyed. If a case is being reconsidered or reapplication is made within a 2- year period, the prior case record must be reviewed before eligibility is determined in order to compare the past and present information, so that differences may be identified and reconciled.

400.14 Request to Add New Family Members

If after completion of an eligibility determination MA is requested for additional family members, a written, signed application is also required for these persons. Refer to section entitled “Child Born on or After 10/1/84” To a mother eligible for and receiving MA’, instructions on automatic eligibility of the newborn of a currently eligible mother. Their eligibility for assistance will be determined in accordance with the provisions of Regulations.06.

(a) Disclosure of information

The LDSS/LHD must restrict disclosure of information concerning applicants and recipients to purpose directly connected with the administration of the Program. These activities include: Determining eligibility Determining the extent of coverage under Program Providing Services for Recipients; and Conducting or assisting an investigation, prosecution, or civil or criminal proceeding related to the administration of the Program.

The release of information to any agency or administration which is any way responsible for an aspect of the administration of the Program does not constitute a violation of the Privacy Act. A recipient’s Medical Assistance number and certification dates may be given to an inquiring health care provider in those instances when, in the judgment of the LDSS/LHD, it is unreasonable to expect the recipient to provide the information.