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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual
CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |275 Effective Month: December 2016 101.06 IN-PERSON INTERVIEWS WITH DOM In-person interviews are required for all long term care (institutional) ABD programs with an asset test. The in-person interview requirement can be waived if the applicant is physically unable to appear for an in-person interview and there is no legal, self-designated or authorized representative for an ABD applicant. In such an instance, a telephone interview may be conducted. Although in-person interviews are not required for MAGI-related or ABD at-home applications, an applicant may request assistance with completing an application either in-person or by telephone. When assistance is requested, include all relevant information described in the “Interview Discussion, described below. Whenever an applicant requests an in-person interview, one will be conducted even if the program does not require an interview. At the interview the specialist reviews household composition and relationships to explain the individuals who are required to be included in the application and/or budgetary process, those who cannot be included. The specific programs and services available to the applicant and/or his family through Division of Medicaid are discussed and any questions the applicant has are addressed. In addition, referrals for services offered by other agencies are made, as appropriate. 101.06.01 INTERVIEW DISCUSSION Whenever an interview is conducted, the following specific areas must be addressed, if applicable: • The agency must allow an individual or individuals of the applicant’s choice to accompany and assist the applicant in the application or review process. • Eligibility requirements for the coverage group(s) the applicant appears potentially eligible in must be explained; • Coverage is limited to only one source of eligibility, i.e., SSI, ABD or MAGI- related. If the individual is eligible under another source, that source must terminate before ABD or MAGI-related eligibility begins.