loading…
loading…
loading…
MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Table of Contents Effective Month: March 2018 101.15.04 PRE-POPULATED RENEWALS ..................................................................... 507 101.15.05 RETURNED MAIL FROM REDETERMINATIONS ...................................... 509 101.15.06 TIMELY PROCESSING ............................................................................... 510 101.15.07 TIMELY AUTHORIZATION ........................................................................ 511 101.15.08 EXPARTE REVIEWS ................................................................................... 512 101.15.09 SSI REVIEWS REQUIRED FOR SSI TERMINATIONS ......................... 515 101.15.10 RECEIPT OF REGULAR REVIEW FORMS ............................................ 516 101.15.11 DISPOSITION OF A REGULAR REVIEW – ABD AND MAGI .............. 517 101.15.11A APPROVAL OF A REGULAR REVIEW ................................................... 517 101.15.11B REDUCTION OR TERMINATION OF BENEFITS .................................. 517 101.15.12 REQUESTED INFORMATION PROVIDED AFTER CLOSURE ........... 519 101.16 SPECIAL REVIEWS ................................................................................................. 600 101.16.01 RECIPIENT REPORTING REQUIREMENTS ............................................. 600 101.16.02 CHANGE REPORTING REQUIREMENTS - ABD .................................. 601 101.16.03 CHANGE REPORTING REQUIREMENTS – MAGI PROGRAMS ....... 602 101.16.04 PROCEDURAL CHANGES – ABD and MAGI .............................................. 603 101.16.05 TAKING ACTION ON REPORTED CHANGES ............................................ 604 101.17 REINSTATEMENTS ................................................................................................... 700 101.17.01 INFORMATION PROVIDED PRIOR TO EFFECTIVE DATE OF CLOSURE ................................................................................................................................................. 700 101.17.02 90-DAY REINSTATEMENT PERIOD FOR MAGI AND ABD RENEWALS ................................................................................................................................................. 701 101.17.02A RENEWAL CLOSURES REQUIRING REINSTATEMENT ................... 702 101.17.02B RENEWAL REINSTATEMENT NOT REQUIRED .................................. 703 101.17.03 CORRECTIVE ACTION .................................................................................... 704 101.17.04 CONTINUATION OF BENEFITS AND HEARING DECISIONS ................. 705 101.17.05 TEMPORARY CASE CLOSURE .................................................................... 705 101.17.06 WHEREABOUTS UNKNOWN ......................................................................... 706 101.18 OTHER CHANGES – ABD PROGRAMS ................................................................ 800