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COMAR 10.09.24.04

308 State of Maryland Medical Assistance Manual Revised July 2012

(a)Signature Requirements for Establishing Eligibility

No signature, application can NOT be completed-return to the customer. Signed but not complete can be pended An applicant is required to sign the application under penalty of perjury Applicants include both spouses (relaxed to one signature) Applicant include both parents of children if both parents are in the home (this has been relaxed and only one signature is necessary) The Care Taker Relative other than Parent (CTROP) and spouse of the CTROP if the spouse of the CTROP wants to be included for the program and resources and income would be counted Spouse to spouse Parent to child

(1)Family and Children (FAC) Unit Signature Requirements

Both parents must sign if they are both in the home. This has been relaxed so that only one signature is necessary. Married couples with children-both to sign (Flexible signature so only one signature is necessary) 18 years old or older not living with parent-or CTROP emancipated minor child may sign the application for both filing and eligibility purposes. In this instance the LDSS must make efforts to contact the parents and verify child’s living arrangement and insurance coverage. Child living with CTROP-CTROP to sign An authorized representative who is 21 years old or older must sign the application for an unmarried child younger than 18 years old that is not living with a parent or CTROP. They can be one of the following:

a. A person with court order b. Legal guardianship or custody of the applicant c. The adult with whom the child lives d. A person chosen and authorized by the applicant to represent him when no one else is available.

(2) Aged, Blind, or Disabled (ABD) Unit Signature Requirements

A blind or disabled child who is 18 years old or older and competent may sign for his/her own application. An ABD applicant, if competent and able to do so must sign his/her own application

For the purpose of establishing only the date of application, the applicant or a person acting on behalf of the applicant may sign the application form. If the applicant is not competent or is unable to sign, the application must be accompanied by an affidavit from a physician that verifies that the applicant is not