Page 47

MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual

CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |277 Effective Month: December 2016 INTERVIEW DISCUSSION (Continued) • For at-home applicants, explain: o The income and resources of a spouse must be considered for the applicant’s eligibility, whether the spouse is applying or not; o The income of a stepparent cannot make a stepchild ineligible for ABD. • For both institutional and at-home coverage groups with an asset test, the authorization for financial institutions to disclose financial account information is a requirement for eligibility to be considered.

The following explanations are specific to MAGI-related applications and must be addressed if the MAGI applicant requests assistance in completing the application: • All possibilities for Medicaid eligibility must be tested before considering CHIP eligibility. Children who qualify for Medicaid cannot be approved for CHIP; • Requested verifications must be provided for each person included in the budgeting process if the verification cannot be obtained through available data sources. Failure to provide information may result in individual or multiple denials, depending on the program or type of verification which is lacking. • The income of an applicant’s spouse must be considered toward the applicant’s eligibility unless the spouse receives SSI. • The income of a stepparent living in the home with applicant children must be considered toward the children’s eligibility. • Verification of personal information, income and expenses is not needed for household members who are not included in the budgeting process.

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Page 47

Official source

MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual

CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |277 Effective Month: December 2016 INTERVIEW DISCUSSION (Continued) • For at-home applicants, explain: o The income and resources of a spouse must be considered for the applicant’s eligibility, whether the spouse is applying or not; o The income of a stepparent cannot make a stepchild ineligible for ABD. • For both institutional and at-home coverage groups with an asset test, the authorization for financial institutions to disclose financial account information is a requirement for eligibility to be considered.

The following explanations are specific to MAGI-related applications and must be addressed if the MAGI applicant requests assistance in completing the application: • All possibilities for Medicaid eligibility must be tested before considering CHIP eligibility. Children who qualify for Medicaid cannot be approved for CHIP; • Requested verifications must be provided for each person included in the budgeting process if the verification cannot be obtained through available data sources. Failure to provide information may result in individual or multiple denials, depending on the program or type of verification which is lacking. • The income of an applicant’s spouse must be considered toward the applicant’s eligibility unless the spouse receives SSI. • The income of a stepparent living in the home with applicant children must be considered toward the children’s eligibility. • Verification of personal information, income and expenses is not needed for household members who are not included in the budgeting process.