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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page 956 Effective Month: March 2018 Special Reviews due to Reported Changes Reported changes that result in a negative action for adult(s) in the case cannot affect eligibility for children in the case. Reported changes that will not affect eligibility for the household must be acted on, but do not terminate eligibility if a request for information yields no response. Children must be reviewed at the end of their 12-month review period; no future closure dates are permitted.

Reported changes resulting in updated information on all household members can result in a new annual review period for the HH.

Reinstatements Due to Failure to Issue Advance Notice If advance notice was not issued as required to reduce benefits or terminate eligibility, reinstate eligibility for all affected months then issue advance notice to terminate or reduce benefits. Reinstate regardless of whether HH or individual is eligible to remedy failure to issue advance notice.

90-Day Reinstatement Period for MAGI & ABD Compliance within 90-days following effective date of closure to return the signed renewal form and/or provide requested information will result in reinstatement back to the date of closure. If additional information is needed, attempt telephone contact 1st, then use 307 (MAGI/ABD) and 309 (ABD). • If information not provided, no further action required except to close the reinstatement contact & delete time period. • If information provided & eligibility is established, approve reinstatement. • If information provided & ineligibility exists, cancel the reinstatement & set an application contact. Refer to policy for details.

This rule is not applicable for the return of unsigned renewal forms. Corrective Action Requirements If corrective action adversely affects a recipient, handle via completion of an Improper Payment Report. If corrective action favorably affects a recipient, handle as a reinstatement back to the month the error occurred.

There is no time limit imposed for corrective action.