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COMAR 10.09.24.04
339 State of Maryland Medical Assistance Manual Revised July 2012
redetermination
Note: CM will set up a 745 alert to follow up on needed information
“ Good Faith” does not apply to: A provider rendering service in the belief that the individual is or will be eligible The provider’s efforts to assist the applicant/representative in obtaining verification, The providers’ administrative and/or legal efforts to insist that the applicant/representative provide the verification
Although all of these may be appropriate responses by a provider, they do not affect the verification requirements. Only the actions and the statements of the applicant/representatives are evaluated in deciding if a factor of eligibility can be considered based on declaration rather than verification.
400.20 Post eligibility
LDSS/LHD shall inform an applicant of his rights and responsibilities LDSS/LHD must give the applicant written notification of the following:
(a)For eligible persons#
(a) For eligible persons
A finding of eligibility (the begin & end dates of the coverage)
(b)For ineligible persons#
(b) For ineligible persons
LDSS/LHD must provide in writing the reason for ineligibility and the regulation supporting the finding LDSS/LHD must also advise of the right to request a fair hearing