101.17.01 INFORMATION PROVIDED PRIOR TO EFFECTIVE DATE OF

CLOSURE If the recipient provides information that changes the adverse action decision or fully complies with unmet requirements prior to the effective date of the closure, benefits must be reinstated to ensure no loss of benefits, if the recipient remains eligible. If the information provided does not change the adverse action decision, no further action is required. If advance notice of Medicaid and/or CHIP benefit reduction or termination was not issued as required, benefits must be reinstated back to the date of closure at the time the error is discovered, regardless of whether the client is currently eligible. After benefits are reinstated, advance notice would then be issued to close the case to meet the advance notice requirements. Close the case at the end of the advance notice period. 101.17.02 90-DAY REINSTATEMENT PERIOD FOR MAGI AND ABD RENEWALS A 90-day reinstatement period is required for MAGI (including CHIP) and ABD renewal/review closures to allow eligibility to be reinstated retroactively to the effective date of the closure if the recipient is otherwise eligible. The 90-day reinstatement period, defined as 90-days from the effective date of the closure, allows Medicaid or CHIP eligibility to be reinstated without requiring a new application or updated signature. The 90-day reinstatement period applies to renewal/review closures due to: • Failure to return the MAGI or ABD renewal form, or • Failure to comply with renewal requirements by not providing requested information issued in writing on a DOM-307, Request for Information (and DOM-309, Second Request for Information, for ABD purposes). The 90-day reinstatement period is not associated with other types of reinstatements described in this section that either have no time limits for initiating a reinstatement or may have different time limits. These types of reinstatements are the result of corrective action needed, hearing decisions, known temporary closures for ABD and locating a recipient whose whereabouts were previously unknown.