101.04.04 PROTECTED APPLICATION DATES FOR MEDICAID APPLICANTS

An applicant who applies for Medicaid on any basis is entitled to have eligibility determined under all available coverage groups. Therefore, an individual who files a MAGI-related application does not also have to file an ABD application to be evaluated for potential eligibility in an ABD program and vice versa. Any application received by the regional office must be evaluated across program lines to determine if eligibility exists under any category of Medicaid coverage. For example, a MAGI-related application indicates an applying household member is disabled. If the disabled member of the household is not eligible in a MAGI- related category, an ABD application would be issued as a supplemental form as outlined in 101.09, Combination MAGI and ABD Applications. The MAGI- related application date is the protected filing date. This also includes applications filed through another certifying agency, such as the Social Security Administration (for SSI applicants). If an individual is denied SSI but would qualify in any available Medicaid-only coverage group, the regional office is required to use the SSI application date as the protected filing date for Medicaid benefits. If the individual is eligible for Medicaid-only, the regional office must determine eligibility using the SSI application date as the Medicaid application date. Additional information may be needed to determine eligibility; however, the application date is the SSI application date, and the case must be documented to reflect this.