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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page 953 Effective Month: March 2018 Determining End Dates of Eligibility For Medicaid and CHIP, the end date of eligibility is either: • The last day of the month that eligibility ends, • The death date of the recipient, • The date of entry into a public institution. • HPE ends the last day of the month of the HPE period or the actual day of the month that the full application for Medicaid is denied.

Filling in the Gap for SSI Eligibles Missing months of SSI eligibility may be evaluated with the application for retroactive Medicaid or under a separate application at a future date. SSI payments begin the month following the month of application. The month of application is the E02 month. DOM covers the E02 month automatically since SSI determines the person eligible for the E02 month. Processing Applications & Renewals of DOM Employees & Family Members Medicaid or CHIP cases involving DOM employee family members may not be handled directly or indirectly by the DOM employee with the family relationship. Assigned supervisory staff is responsible for processing affected cases. Ensuring Continuous Eligibility for Children under Age 19 Children determined eligible at the time of application and renewal are locked into a protected period of eligibility for 12-full months. Only a limited number of early termination reasons can interrupt the 12- months of continuous eligibility.

Applies to both MAGI-related children and ABD children Ensuring Eligibility for the 1st Year of Life for the Deemed Eligible Infant An infant born to a Medicaid-eligible mother is eligible from the date of birth through the month the child reaches age one (13 months). Central Office staff inputs deemed eligible infant eligibility upon direct notification by the birthing hospital.

Assigning Review Due Month at Application MAGI – Medicaid application month starts the 12-month count. MAGI – CHIP benefit month starts the 12-month count. MAGI application month (Medicaid) or benefit month (CHIP) + 11 months = review due date.

ABD – month of supervisor authorization starts the 12-month count ABD authorization month + 11 months = review due date.