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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |375 Effective Month: December 2016 101.10 ELIGIBILITY DATES The following discussion addresses Medicaid and CHIP beginning dates of eligibility, ending dates of eligibility, and retroactive Medicaid eligibility.

101.10.01 BEGINNING DATES OF MEDICAID ELIGIBILITY Medicaid applicants, including an applicant who dies prior to filing an application or dies prior to completion of the application process, may qualify for Medicaid on one of the following dates:

• The first day of the month of the application, provided all eligibility factors are met for the first day of the month;

• The first day of the month after the month of application in which all eligibility factors are met;

• The first day of the first, second or third month prior to the month of application when conditions are met for retroactive Medicaid.

• The first day of the month following the month of approval for QMB-only (Qualified Medicare Beneficiary) eligibility. There is no retroactive Medicaid possible for a QMB-only.

• The Hospital Presumptive Eligibility (HPE) beginning date of eligibility is the date the HPE application is approved by authorized hospital staff. 01.10.02 BEGINNING DATES OF CHIP ELIGIBILITY

The benefit start date for CHIP is the first day of the month following the month of application, provided all eligibility factors are met. There is no retroactive eligibility for CHIP-eligible children, other than the newborn exception described below.

Newborn exception: The start date for a CHIP-eligible newborn may be retroactive to the date of birth if the application is filed within 31 days of birth. The 31-day count for the application to be filed begins the day following the infant’s date of birth.