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COMAR 10.09.24.04

307 State of Maryland Medical Assistance Manual Revised July 2012

h. The newborn’s eligibility should terminate, however, if the child moves out-of-state. Then, terminate eligibility in accordance with timely and adequate notice requirements i. If an LDSS or LHD is informed of a newborn’s birth but the hospital or clinic failed to initiate the DHMH 1184 process, the LDSS/LHD must take action on its own to determine if the infant is automatically eligible for MA. The LDSS/LHD must determine if the mother was eligible for the date of the newborn’s birth and if that eligibility currently exists. If the mother continues to be eligible, the LDSS/LHD case manager adds the newborn to the mother’s unit.

(2) Certification Procedure for the Newborn of a Temporary Cash Assistance recipient

The TCA policy in regard to adding a newborn to the TCA grant is outlined in the TCA manual. The client will be given a copy of the DHMH form1184 by the hospital. The DHMH form 1184 can be used for birth verification so that the newborn may, if otherwise eligible, be added to the TCA assistance unit. If a child is born to a TCA applicant in the month of application and the mother is found eligible in that month, certifications of the newborn’s MA and certifications for the mother and other eligible members of the TCA unit begins the first day of the month in which they were found eligible for TCA. If the child was born prior to the month of the applicant/mother’s eligibility for TCA and there are outstanding medical bills, refer to the policies for Non-Public Assistance for Adults (NPAA) MA or MCHP for determination of retroactive eligibility.

400.3 Person Required to File an Application

All persons requesting MA (or for whom MA is requested) who are not SSI or TCA recipients are required to file an written, signed, application with the LDSS/LHD in order for an eligibility determination to be made.

CM must provide the following information to customer:

Application date Retroactive months (retro) List of information needed and why Due date for information Customer must report any changes that come about within 10 business days

400.4. General Requirements for Establishing Eligibility

A signed application which is not completed to full specifications is still acceptable for the purpose of registering the application date. However, an application which has no signature does not constitute a valid application even if it is otherwise complete. Such an application must be immediately returned to the person with an explanation of the reason for the return and will not be registered with an application date until it is signed and returned to the LDSS/LHD. Listed below are application requirements for an application to be completed: