Page 32

MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |227

Effective Month: December 2016 SUBMITTING AN APPLICATION AND APPLICATION FILE DATE (Continued) ABD telephone applications may be accepted by a regional office when circumstances prevent the applicant from applying or being interviewed in any other manner. The date of the telephone interview is the date of filing. The application must be mailed to the individual to sign and return in order for the agency to have a completed application acknowledged by the applicant.

Once a signed and dated application has been received by the agency, it must not be altered by adding, changing or deleting any information. During an interview, an applicant may make changes to the information on an application. If the interview is in-person, the applicant must initial the changes. If the change to information on the application is reported in any other manner, it must be documented in the case record and/or in the case narrative, but not on the application form.