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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page 951 Effective Month: March 2018 Filing Date of an Application The date a signed application is filed or received by the agency (RO or CO) by any means of submission for filing an application.

The date received by DOM or the FFM is the date filed. Medicaid Applications Filed Outside of DOM 1) SSI applications, 2) Children in the custody of DCPS who are certified as eligible by DCPS, 3) Medicaid or CHIP applications filed with the FFM and transferred to DOM, 4) LIS applications filed with SSA and transferred to DOM, 5) HPE applications filed with qualified hospitals and transferred to DOM. DOM determines eligibility for FFM, LIS and HPE applications. RO with Responsibility RO that serves the county where at-home recipients live is responsible for the case. Long term care cases are handled by RO that serves the county where the facility is located. Combo MAGI/ABD cases with one in a facility is handled by RO where facility is located.

Requiring an In-Person Interview ABD institutional (long term care & HCBS) require an in-person interview at the time of application only. Waive the in-person interview if no rep and applicant is physically unable to appear at any location. Utilize a telephone interview. Any applicant (MAGI or ABD) may request in- person assistance with applying.

Timely Processing of Applications (SOP or Standard of Promptness) • 45 days for MAGI and ABD if no DDS decision needed. • Applications filed with FFM have a SOP beginning with date received by DOM; filing date is date filed with FFM. • 90 days for ABD if DDS decision needed.

Days are counted from date of filing application to decision date, except those filed with FFM.

Making an Eligibility Decision Verification of eligibility factors comes from data available from electronic data sources and/or the applicant. If data is unavailable from data sources or if applicant provided information is inconsistent, verify independently, which includes obtaining from applicant.

Case documentation is required to support an eligibility decision. Use the Case Narrative or document within the case record.