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COMAR 10.09.24.05

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State of Maryland Medical Assistance Manual Revised July 2012

(1) Case Processing Procedures

When the case manager is notified and confirms that an adult or juvenile recipient meets the definition of an inmate of a public institution, the case manager should close the Medicaid case effective the end of the current month, giving at least 10 days notice and information on appeals rights. The case manager should use the SVES system when attempting to verify a person’s incarceration. Information may be available in this database for an individual who was receiving Social Security benefit. The DHR Office of the Inspector General (OIG) receives a quarterly report from the Department of Public Safety and Correctional Services (DPSCS), listing the inmates in DPSCS and Baltimore City Jails. The OIG checks the CARES database to match individuals on the DPSCS report. When a match is found, they send a report on the inmate with a cover letter to the FIP Assistance Director at the LDSS. The documents are then given to the appropriate supervisor to distribute to the case manager. When the case manager receives the match report from the OIG allows 90 days for the LDSS to take appropriate action on the case and return the completed DPSCS match report. If the report is not returned and overdue notice is sent to LDSS When the case manager receives a “Conflicting Data Report” (DHMH 4541) from DHMH. The case must be reviewed to resolve the conflicting information and determine whether the individual is still entitled to Medicaid eligibility. The green copy of the DHMH 4541 should be returned to DHMH (the address is on the back of each page of the document), advising DHMH of resolution.

(2) Medicaid Applications for Prison Inmates Prior to Release Policies and procedures to facilitate applications by certain inmates for Medical and/or the Family Investment Administration (FIA) programs and services they will need upon release form incarceration, Medicaid, Food Stamps, Temporary Case Assistance, or Temporary Disability Assistance Program. This AT replaced AT 98-46. These enhanced procedures are intended to assure the eligibility will begin on the date the customer is released from incarceration. The special population for this pre-release assistance is limited to terminally ill or chronically physically or mentally ill inmates requiring treatment upon release. The Department of Human Resources and DPSCS reached an agreement for interaction between staff from the LDSS’s and DPSCS, particularly as related to expedited Medicaid.

To be eligible for a pre- release Medicaid application and inmate must: Reside in Maryland upon release; Currently serving a sentence and have a projected release date of at least 6 weeks in the

future; Have no detainer that would result in incarceration in another jurisdiction and Either be terminally ill or have a chronic physical or mental illness requiring treatment upon release.