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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |350 Effective Month: December 2016 101.09 COMBINATION MAGI AND ABD APPLICATIONS Although MAGI and ABD are separate programs, there are common elements that allow an individual to apply in one program but be determined eligible in the other using available information.

The MAGI application asks specific questions at the individual level regarding possible ABD eligibility. These questions ask if the applying household member:

• is disabled, or • has a physical, mental or emotional condition that limits common activities, or • lives in a medical facility or nursing home.

An affirmative response to any of these questions requires further development as quickly as possible during the MAGI application process to follow up on possible ABD eligibility if it is unlikely that the individual will qualify for MAGI based on application information. For example, an applying household member is over the age of 18 and is not a parent or caretaker of a minor child in the home, or the parent/caretaker has income over the limit for adult coverage, or a disabled child’s family income is over the Medicaid and CHIP limit. In all of these situations, if a disability is alleged for an applying MAGI household member, that individual must be allowed the opportunity to apply for ABD in an expeditious manner.

MAGI Application Filed with DOM Indicates Possible ABD Eligibility

To fulfill the requirement for a MAGI applicant to apply for ABD when a MAGI application indicates possible ABD eligibility, do the following:

• Issue the ABD application form (DOM-300) via DOM-307 requesting only the information that is not available as part of the MAGI application process. The types of verification needed to establish ABD eligibility may be: