101.17.02A RENEWAL CLOSURES REQUIRING REINSTATEMENT

Reinstate a MAGI or ABD case that closed at renewal when either of the following conditions exists: • The case closed due to failure to return the renewal form, and a signed form (complete or incomplete) is returned within the 90-day period following the effective date of closure; or, • The case closed due to failure to provide needed information, and the requested information is provided in full or in part within the 90-day period following the effective date of closure. Effective Month of the Reinstatement The effective month of the reinstatement is the month following the month of closure. The exception to this rule is if there is a future closure date on file. For future closures, reinstate no earlier than the next calendar month after the current month. For example, if the reinstatement action is taken in July for a child with a closure date at the end of September, reinstate the case with a time period starting no earlier that October 1st. Requesting Additional Information to Process the Reinstatement If the renewal form is incomplete or the information provided is incomplete, attempt to handle these issues by telephone contact, if possible. If not possible, issue a DOM-307, Request for Information (and DOM-309A for ABD, if needed), specifying what is needed to comply with the renewal process and allow 15 days for the information to be returned. • If requested information is not provided, no further contact with the individual is required unless the information needed is provided during any remainder of the 90-day period. Close the reinstatement contact, delete the time period and document the case narrative. • If all information is provided, take action to process the case: o If eligible, approve using the reinstatement contact providing all eligible coverage. o If ineligible due to an eligibility-related reason, i.e., over income, handle as follows:  Cancel the reinstatement contact,  Set an application contact,  Use the 1st day of the month following the closure month as the application date. For example, if the case originally closed at the end of June (06/30), use the 1st of July (07/01) as the application date and the time period begin date.