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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |332 Effective Month: December 2016 101.08.06 COMPLIANCE AFTER DENIAL If a MAGI or ABD applicant provides all needed information to complete the application before the end of the month following the month of the denial, use the denied application form to establish eligibility using the original application date. Reinstate the application in the system using the original application date.
For example, the application is denied on September 12th. If all needed information is provided on or before October 31st, the application can be reinstated.
If, as a result of new information provided, additional information is needed to complete the application, attempt to handle these issues by telephone contact, if possible. If not possible, issue a DOM-307 (and DOM-309 for ABD, if needed) specifying what is needed to comply. Allow 12 days for the information to be returned.
• If requested information is not provided, no further contact with the individual is required unless the information needed is provided during the remainder of the compliance period. Close the reinstatement contact, delete the time period and document the case narrative.
• If all information is provided, take action to approve the application if eligible or deny the application for the appropriate reason if ineligible.
NOTE: if the ABD application was denied because the applicant did not appear for a required interview and did not request an alternate arrangement to be interviewed, a reapplication is required.