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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual

CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |276 Effective Month: December 2016 INTERVIEW DISCUSSION (Continued) • The use and purpose of the application, including that the applicant is agreeing to all of the rights and responsibilities specified on the application by signing the form; • The applicable Standards of Promptness; • The requirement for Assignment of Third Party Rights; • The Quality Control review process; • The use of Social Security Numbers in computer matching programs; • Appeal Rights; • Child Support Cooperation Requirements; • Available services such as the EPSDT program and the annual physical for adults ; • Verification requirements and methods to be used to establish eligibility, including the use of electronic databases, collateral contacts, and documentary verification; • The change reporting requirements • Voter registration opportunities.

The following explanations are specific to ABD and must be addressed as applicable: • For institutional applicants, explain: o The Estate Recovery provision; o Spousal Impoverishment rules for IS/CS cases, including the community spouse resource and income limits, spousal allocation rules, allowable transfers of resources to the community spouse and the 90-day period allowed for transferring spousal resources; o Medicaid Income and protection of income for the month of entry, if applicable; o The Income Trust provision, if applicable; o Transfer of assets provision and the 5-year lookback period; o The 317 and PAS (Pre-Admission Screening) Forms must be submitted by the nursing facility and received by the RO prior to disposition of the application to document the medical necessity of the nursing home placement.