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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |606 Effective Month: December 2016 Documenting the Case Record

The case record/case narrative must reflect the following information about the reported change:

• Who reported the change; • When the change was reported; • How the change was reported; • When action was initiated on the change; • What was used to verify the change; and • What action was taken in regard to the verified information.