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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page 955 Effective Month: March 2018 Advance Notice to Increase Medicaid Income Advance notice is 10-days before the date DOM makes its payment to the nursing facility, which is always in the month following the current month. Advance notice is 10 calendar days before the 1st of the following month in order for change to be effective in current month.

Requirement for Ex Parte Reviews Any recipient losing eligibility in one COE must be reviewed under any/all available COE’s using existing information prior to terminating eligibility. If additional information is needed, allow a reasonable opportunity to provide additional information which may include a separate application form (ABD to MAGI & vice versa).

If recipient is being terminated for failure to comply with the renewal process, an ex-parte review is not applicable. SSI Terminations Due to Excess Income or Resources These types of SSI terminations are issued an SSI Redetermination Form for possible eligibility in a Medicaid COE. An abbreviated review form is issued by the system. Continuing eligibility is decided using the completed review form along with data on the SDX and SVES records. If additional information is needed, contact with the individual may be required.

An SSI renewal is a type of ex parte review; however, all factors of eligibility must be verified. Renewal Processing MAGI and ABD renewals may be returned to the RO by any means allowed for submission of an application. Telephone renewals that are not recorded must be sent to the recipient for signature.

Renewals and 12-Months of Continuous Eligibility for Children Children in a case may have different review due dates. Attempt alignment of review dates at the time of renewal if possible but continuous eligibility cannot be shortened (without a written request from the parent/caretaker). A new period of continuous eligibility can be assigned when eligibility is reestablished for all HH members. Children require a full review at the end of their 12- month protected period of eligibility; future end dates are not permitted.