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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page 952 Effective Month: March 2018 Issuing Requests for Information (RFI) ABD applications utilize a 307 (1st RFI) and 309 (2nd RFI). If additional time is requested, hold to end of SOP applicable. MAGI applications require direct contact 1st, then utilize a 307 (1st RFI). If additional time is requested, hold to end of 45 days.

Refer to “Reasonable Efforts to Assist All Applicants” to avoid multiple denials of eligibility when the applicant is incapable or rep is unwilling to provide needed information. Compliance After Denial If MAGI or ABD applicant fully complies by providing needed information by the end of the month following the month of denial, use denied application and application date and reinstate the application.

MAGI Application Indicates Possible ABD Eligibility If a MAGI applicant indicates possible disability, issue the ABD DOM-300 & request only information not available through MAGI process. A signed ABD application is required. FFM applicants indicating disability are sent a Non- MAGI letter that must be signed & returned to start ABD process.

Determining Beginning Dates of Medicaid Eligibility If all factors of eligibility are met, the begin date is: • 1st of month of application, or • 1st day of the 1st, 2nd or 3rd month prior to the month of application. • QMB eligibility begins no earlier than the month following the month of approval. • HPE eligibility begins on the day of the month the hospital determines an individual to be eligible for HPE.

Retroactive Medicaid does not have to be authorized at the time of application. It can be requested and added at any point in time. Determining Beginning Date of CHIP Eligibility • 1st of month following month of application eff. 12/01/2016 • If a newborn application is taken within 31 days of birth and approval is authorized within 60 days of application, CHIP eligibility is retroactive to the date of birth.

There is no retroactive eligibility for CHIP eligible children, except newborns.