101.15.02 ASSIGNMENT OF REVIEW DUE DATES

A regular review must be completed on each recipient at intervals not to exceed 12 months. The system automatically sets a 12-month review at application and redetermination as follows: APPLICATIONS REVIEWS MAGI applications – a Medicaid application month starts the 12-month count. (Application month + 11 months = review due date.) For CHIP, the benefit month starts the 12- month count (Month after month of application + 11 months = review due date.) MAGI and ABD review due dates are determined using the time period begin month to start the 12-month count. (Begin month of time period + 11 months = review due date.) Pregnant Woman’s due date is set to the 12th month of post-partum. 12 months after the end of the pregnancy. ABD applications – the month the supervisor authorizes eligibility starts the 12-month count. (Supervisor authorization month + 11 = review due date.) The reviewing supervisor is responsible for ensuring the proper review due date is assigned to each individual and for correcting or adjusting system-assigned dates at authorization when needed. No individual’s review due may be adjusted to exceed 12 months. Setting Correct Time Spans to Ensure a Child’s 12-Months Continuous Eligibility Because children (MAGI or ABD) can be added to a case at different times (birth of a child or addition of a child to a case), not everyone within a case may have the same review due date. As stated previously, all children under age 19 (MAGI and ABD) are entitled to 12-months of continuous eligibility. The system sets the review due date based on the beginning month of the time period entered. When completing MAGI and/or ABD redeterminations, the time period must be set as follows: Overdue for Review Set the time span for the month following the month the pre- populated renewal form is received. Children who are approved will have a new review due date 12 months from the time period begin date. Ineligible children must have a full review at the end of their 12-month protected period. Current Reviews Set the time span for the month following the earliest redetermination due date for the case. This is the starting point to begin the eligibility assessment. If all children are approved again in the same program, the new review dates will be 12 months from the time period begin month.