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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Table of Contents Effective Month: March 2018 Table of Contents 101.01 INTRODUCTION ......................................................................................................... 100 101.02 COVERAGE OF THE CATEGORICALLY NEEDY IN MISSISSIPPI ........... 101 101.02.01 MANDATORY CATEGORICALLY NEEDY – MAGI RELATED ................. 102 101.02.02 MANDATORY CATEGORICALLY NEEDY - ABD ....................................... 105 101.02.03 MANDATORY CATEGORICALLY NEEDY – SPECIAL GROUPS ............ 107 101.02.04 OPTIONAL CATEGORICALLY NEEDY – MAGI-RELATED ...................... 108 101.02.05 OPTIONAL CATEGORICALLY NEEDY – ABD ............................................ 110 101.03 HOW TO APPLY ....................................................................................................... 200 101.03.01 APPLICANT .......................................................................................................... 200 101.03.01A Deceased Applicants ................................................................................... 200 101.03.01B Non-Applicants ............................................................................................. 200 101.03.02 DOM APPLICATION FORM(S) ....................................................................... 200 101.03.03 SIGNATURE REQUIREMENTS ...................................................................... 201 101.03.04 REPRESENTATIVES AUTHORIZED TO ACT FOR AN APPLICANT ..... 203 101.03.05 WHO CAN FILE THE APPLICATION ........................................................ 205 101.03.06 ACCESS AND ACCOMMODATION IN APPLYING ............................... 206 101.03.07 REASONABLE EFFORTS TO ASSIST .................................................... 208 101.04 FILING THE APPLICATION ...................................................................................... 225 101.04.01 RIGHT TO APPLY ........................................................................................ 225 101.04.02 REQUEST FOR AN INFORMAL MEDICAID ELIGIBILITY OPINION ..... 225 101.04.03 SUBMITTING AN APPLICATION AND APPLICATION FILE DATE ......... 226 101.04.04 PROTECTED APPLICATION DATES FOR MEDICAID APPLICANTS228 101.04.05 APPLICATIONS RECEIVED FROM MS RESIDENTS OUT-OF-STATE ..

......................................................................................................................... 228 101.04.06 OUT OF STATE APPLICANTS .................................................................. 229 101.04.07 RESIDENCE CHANGE DURING THE APPLICATION PROCESS ...... 229 101.04.08 WHERE TO FILE THE APPLICATION ..................................................... 229